| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $577.94 | $577.94 | $666.86 | |
Cigna
| Facility | $870.47 | $875.29 | $875.29 | |
Cigna
| Professional | $638.96 | $817.11 | $901.55 | |
MVP Health Care
| Facility | $870.47 | $875.29 | $875.29 | |
MVP Health Care
| Professional | $638.96 | $875.29 | $901.55 | |
United
| Professional | $393.90 | $701.56 | $1,369.14 |