| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $756.33 | $756.33 | $872.69 | |
Cigna
| Facility | $886.63 | $886.63 | $1,139.15 | |
Cigna
| Professional | $647.24 | $883.57 | $945.19 | |
MVP Health Care
| Facility | $886.63 | $886.63 | $1,139.15 | |
MVP Health Care
| Professional | $647.24 | $886.63 | $945.19 | |
United
| Professional | $515.48 | $1,066.57 | $1,791.73 |