| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $838.49 | $838.49 | $967.49 | |
Cigna
| Facility | $908.11 | $908.11 | $1,262.90 | |
Cigna
| Professional | $662.92 | $662.92 | $802.37 | |
MVP Health Care
| Facility | $908.11 | $908.11 | $1,262.90 | |
MVP Health Care
| Professional | $662.92 | $662.92 | $802.37 | |
United
| Professional | $571.48 | $1,017.84 | $1,986.39 |