| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $464.40 | $464.40 | $535.85 | |
Cigna
| Facility | $567.88 | $567.88 | $699.46 | |
Cigna
| Professional | $414.55 | $414.55 | $565.98 | |
MVP Health Care
| Facility | $567.88 | $567.88 | $699.46 | |
MVP Health Care
| Professional | $414.55 | $414.55 | $565.98 | |
United
| Professional | $316.51 | $575.26 | $1,100.17 |