| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $789.44 | $789.44 | $910.90 | |
Cigna
| Facility | $842.96 | $842.96 | $1,189.03 | |
Cigna
| Professional | $615.36 | $842.96 | $868.25 | |
MVP Health Care
| Facility | $842.96 | $842.96 | $1,189.03 | |
MVP Health Care
| Professional | $615.36 | $842.96 | $868.25 | |
United
| Professional | $559.57 | $958.31 | $1,870.20 |