| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $569.02 | $569.02 | $656.56 | |
Cigna
| Facility | $565.73 | $565.73 | $857.02 | |
Cigna
| Professional | $412.98 | $565.73 | $582.70 | |
MVP Health Care
| Facility | $565.73 | $565.73 | $857.02 | |
MVP Health Care
| Professional | $412.98 | $565.73 | $582.70 | |
United
| Professional | $387.82 | $690.73 | $1,347.99 |