| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $374.52 | $374.52 | $432.14 | |
Cigna
| Facility | $564.09 | $572.20 | $572.20 | |
Cigna
| Professional | $417.71 | $572.20 | $589.37 | |
MVP Health Care
| Facility | $564.09 | $572.20 | $572.20 | |
MVP Health Care
| Professional | $417.71 | $572.20 | $589.37 | |
United
| Professional | $255.26 | $576.76 | $887.24 |