| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $575.39 | $575.39 | $663.91 | |
Cigna
| Facility | $740.83 | $740.83 | $866.61 | |
Cigna
| Professional | $540.80 | $740.83 | $763.05 | |
MVP Health Care
| Facility | $740.83 | $740.83 | $866.61 | |
MVP Health Care
| Professional | $540.80 | $740.83 | $763.05 | |
United
| Professional | $392.16 | $698.45 | $1,363.10 |