| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $757.12 | $757.12 | $873.60 | |
Cigna
| Facility | $752.15 | $752.15 | $1,140.34 | |
Cigna
| Professional | $549.07 | $549.07 | $749.52 | |
MVP Health Care
| Facility | $752.15 | $752.15 | $1,140.34 | |
MVP Health Care
| Professional | $549.07 | $549.07 | $749.52 | |
United
| Professional | $516.02 | $919.07 | $1,793.62 |