| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $669.68 | $669.68 | $772.70 | |
Cigna
| Facility | $907.46 | $907.46 | $907.46 | |
Cigna
| Professional | $662.45 | $1,054.94 | $1,124.17 | |
MVP Health Care
| Facility | $907.46 | $907.46 | $907.46 | |
MVP Health Care
| Professional | $662.45 | $1,055.84 | $1,124.17 | |
United
| Professional | $456.42 | $812.91 | $1,586.46 |