| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $514.66 | $514.66 | $593.84 | |
Cigna
| Facility | $494.25 | $494.25 | $775.15 | |
Cigna
| Professional | $360.80 | $494.25 | $526.90 | |
MVP Health Care
| Facility | $494.25 | $494.25 | $775.15 | |
MVP Health Care
| Professional | $360.80 | $494.25 | $526.90 | |
United
| Professional | $358.31 | $624.73 | $1,219.22 |