| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $633.04 | $633.04 | $730.43 | |
Cigna
| Facility | $714.02 | $714.02 | $953.46 | |
Cigna
| Professional | $521.23 | $714.01 | $735.44 | |
MVP Health Care
| Facility | $714.02 | $714.02 | $953.46 | |
MVP Health Care
| Professional | $521.23 | $714.01 | $735.44 | |
United
| Professional | $431.45 | $768.44 | $1,499.67 |