| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $498.39 | $498.39 | $575.07 | |
Cigna
| Facility | $550.80 | $550.80 | $750.65 | |
Cigna
| Professional | $402.09 | $550.80 | $567.33 | |
MVP Health Care
| Facility | $550.80 | $550.80 | $750.65 | |
MVP Health Care
| Professional | $402.09 | $550.80 | $567.33 | |
United
| Professional | $339.68 | $605.00 | $1,180.68 |