| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $488.39 | $488.39 | $563.53 | |
Cigna
| Facility | $485.57 | $485.57 | $735.60 | |
Cigna
| Professional | $354.47 | $485.57 | $517.64 | |
MVP Health Care
| Facility | $485.57 | $485.57 | $735.60 | |
MVP Health Care
| Professional | $354.47 | $485.57 | $517.64 | |
United
| Professional | $374.47 | $752.13 | $1,157.01 |