| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $617.35 | $617.35 | $712.33 | |
Cigna
| Facility | $723.52 | $723.52 | $723.52 | |
Cigna
| Professional | $528.16 | $723.52 | $745.23 | |
MVP Health Care
| Facility | $723.52 | $723.52 | $723.52 | |
MVP Health Care
| Professional | $528.16 | $723.52 | $745.23 | |
United
| Professional | $420.76 | $807.30 | $1,461.04 |