| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $338.12 | $338.12 | $390.14 | |
Cigna
| Facility | $493.58 | $493.58 | $509.25 | |
Cigna
| Professional | $356.50 | $452.88 | $526.19 | |
MVP Health Care
| Facility | $493.58 | $493.58 | $509.25 | |
MVP Health Care
| Professional | $356.50 | $493.58 | $526.19 | |
United
| Professional | $239.66 | $520.70 | $801.00 |