| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $405.74 | $405.74 | $468.16 | |
Cigna
| Facility | $389.66 | $389.66 | $611.11 | |
Cigna
| Professional | $284.45 | $389.65 | $415.39 | |
MVP Health Care
| Facility | $389.66 | $389.66 | $611.11 | |
MVP Health Care
| Professional | $284.45 | $389.65 | $415.39 | |
United
| Professional | $287.58 | $492.52 | $961.20 |