| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $440.74 | $440.74 | $508.55 | |
Cigna
| Facility | $576.88 | $576.88 | $576.88 | |
Cigna
| Professional | $421.12 | $576.88 | $686.58 | |
MVP Health Care
| Facility | $576.88 | $576.88 | $576.88 | |
MVP Health Care
| Professional | $421.12 | $576.88 | $686.58 | |
United
| Professional | $300.38 | $535.02 | $1,044.10 |