| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $427.89 | $427.89 | $493.72 | |
Cigna
| Facility | $410.92 | $410.92 | $644.47 | |
Cigna
| Professional | $299.97 | $410.92 | $438.06 | |
MVP Health Care
| Facility | $410.92 | $410.92 | $644.47 | |
MVP Health Care
| Professional | $299.97 | $410.92 | $438.06 | |
United
| Professional | $291.63 | $519.41 | $1,013.65 |