| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $482.06 | $482.06 | $556.22 | |
Cigna
| Facility | $501.14 | $501.14 | $726.06 | |
Cigna
| Professional | $365.83 | $501.14 | $534.24 | |
MVP Health Care
| Facility | $501.14 | $501.14 | $726.06 | |
MVP Health Care
| Professional | $365.83 | $501.14 | $534.24 | |
United
| Professional | $328.56 | $585.16 | $1,142.00 |