| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $351.88 | $351.88 | $406.01 | |
Cigna
| Facility | $450.57 | $450.57 | $529.98 | |
Cigna
| Professional | $328.92 | $450.57 | $480.33 | |
MVP Health Care
| Facility | $450.57 | $450.57 | $529.98 | |
MVP Health Care
| Professional | $328.92 | $450.57 | $480.33 | |
United
| Professional | $239.82 | $456.42 | $833.59 |