| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $536.26 | $536.26 | $618.76 | |
Cigna
| Facility | $732.96 | $732.96 | $807.69 | |
Cigna
| Professional | $535.05 | $535.05 | $645.26 | |
MVP Health Care
| Facility | $732.96 | $732.96 | $807.69 | |
MVP Health Care
| Professional | $535.05 | $535.05 | $645.26 | |
United
| Professional | $380.11 | $650.96 | $1,270.40 |