| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $362.88 | $362.88 | $418.71 | |
Cigna
| Facility | $530.41 | $530.41 | $546.55 | |
Cigna
| Professional | $387.20 | $387.20 | $463.16 | |
MVP Health Care
| Facility | $530.41 | $530.41 | $546.55 | |
MVP Health Care
| Professional | $387.20 | $387.20 | $463.16 | |
United
| Professional | $257.22 | $549.04 | $859.67 |