| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $453.95 | $453.95 | $523.79 | |
Cigna
| Facility | $458.59 | $458.59 | $683.72 | |
Cigna
| Professional | $334.77 | $458.59 | $472.35 | |
MVP Health Care
| Facility | $458.59 | $458.59 | $683.72 | |
MVP Health Care
| Professional | $334.77 | $458.59 | $472.35 | |
United
| Professional | $321.76 | $551.04 | $1,075.40 |