| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $356.95 | $356.95 | $411.87 | |
Cigna
| Facility | $537.63 | $555.76 | $555.76 | |
Cigna
| Professional | $405.70 | $553.01 | $592.47 | |
MVP Health Care
| Facility | $537.63 | $555.76 | $555.76 | |
MVP Health Care
| Professional | $405.70 | $555.76 | $592.47 | |
United
| Professional | $243.29 | $525.07 | $845.62 |