| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $704.92 | $704.92 | $813.37 | |
Cigna
| Facility | $902.63 | $902.63 | $1,061.72 | |
Cigna
| Professional | $658.92 | $902.63 | $929.71 | |
MVP Health Care
| Facility | $902.63 | $902.63 | $1,061.72 | |
MVP Health Care
| Professional | $658.92 | $902.63 | $929.71 | |
United
| Professional | $499.66 | $855.70 | $1,669.96 |