| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $385.05 | $385.05 | $444.29 | |
Cigna
| Facility | $400.78 | $400.78 | $579.94 | |
Cigna
| Professional | $292.57 | $400.78 | $427.25 | |
MVP Health Care
| Facility | $400.78 | $400.78 | $579.94 | |
MVP Health Care
| Professional | $292.57 | $400.78 | $427.25 | |
United
| Professional | $262.43 | $467.41 | $912.19 |