| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $496.57 | $496.57 | $572.97 | |
Cigna
| Facility | $579.51 | $579.51 | $579.51 | |
Cigna
| Professional | $423.04 | $741.12 | $789.76 | |
MVP Health Care
| Facility | $579.51 | $579.51 | $579.51 | |
MVP Health Care
| Professional | $423.04 | $741.76 | $789.76 | |
United
| Professional | $338.45 | $764.72 | $1,176.38 |