| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $569.54 | $569.54 | $657.17 | |
Cigna
| Facility | $612.94 | $612.94 | $857.84 | |
Cigna
| Professional | $447.45 | $612.94 | $653.41 | |
MVP Health Care
| Facility | $612.94 | $612.94 | $857.84 | |
MVP Health Care
| Professional | $447.45 | $612.94 | $653.41 | |
United
| Facility | $577.08 | $577.08 | $577.08 | |
United
| Professional | $388.18 | $691.37 | $1,349.27 |