| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $385.61 | $385.61 | $444.94 | |
Cigna
| Facility | $580.79 | $589.44 | $589.44 | |
Cigna
| Professional | $430.29 | $589.44 | $628.37 | |
MVP Health Care
| Facility | $580.79 | $589.44 | $589.44 | |
MVP Health Care
| Professional | $430.29 | $589.44 | $628.37 | |
United
| Professional | $355.95 | $593.85 | $657.05 |