| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $350.84 | $350.84 | $404.82 | |
Cigna
| Facility | $484.42 | $484.42 | $528.41 | |
Cigna
| Professional | $353.63 | $484.42 | $516.41 | |
MVP Health Care
| Facility | $484.42 | $484.42 | $528.41 | |
MVP Health Care
| Professional | $353.63 | $484.42 | $516.41 | |
United
| Professional | $239.12 | $444.80 | $831.15 |