| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $337.94 | $337.94 | $389.93 | |
Cigna
| Facility | $436.96 | $436.96 | $508.99 | |
Cigna
| Professional | $318.98 | $436.96 | $450.07 | |
MVP Health Care
| Facility | $436.96 | $436.96 | $508.99 | |
MVP Health Care
| Professional | $318.98 | $436.96 | $450.07 | |
United
| Professional | $239.55 | $520.42 | $800.58 |