| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $399.01 | $399.01 | $460.40 | |
Cigna
| Facility | $468.67 | $468.67 | $600.96 | |
Cigna
| Professional | $342.13 | $390.13 | $482.73 | |
MVP Health Care
| Facility | $468.67 | $468.67 | $600.96 | |
MVP Health Care
| Professional | $342.13 | $468.67 | $482.73 | |
United
| Facility | $383.20 | $383.20 | $383.20 | |
United
| Professional | $271.95 | $484.35 | $945.25 |