| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $700.52 | $700.52 | $808.30 | |
Cigna
| Facility | $854.15 | $854.15 | $854.15 | |
Cigna
| Professional | $623.53 | $854.15 | $910.56 | |
MVP Health Care
| Facility | $854.15 | $854.15 | $854.15 | |
MVP Health Care
| Professional | $623.53 | $854.15 | $910.56 | |
United
| Professional | $457.98 | $916.07 | $1,657.88 |