| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $671.96 | $671.96 | $796.48 | |
Cigna
| Facility | $906.54 | $906.54 | $906.54 | |
Cigna
| Professional | $661.77 | $906.54 | $1,048.83 | |
MVP Health Care
| Facility | $906.54 | $906.54 | $906.54 | |
MVP Health Care
| Professional | $661.77 | $906.54 | $1,048.83 | |
United
| Professional | $457.98 | $815.68 | $1,591.86 |