| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $662.17 | $662.17 | $764.05 | |
Cigna
| Facility | $713.15 | $713.15 | $997.34 | |
Cigna
| Professional | $520.60 | $713.14 | $760.25 | |
MVP Health Care
| Facility | $713.15 | $713.15 | $997.34 | |
MVP Health Care
| Professional | $520.60 | $713.14 | $760.25 | |
United
| Professional | $451.31 | $803.81 | $1,568.69 |