| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $430.86 | $430.86 | $497.15 | |
Cigna
| Facility | $472.30 | $472.30 | $648.92 | |
Cigna
| Professional | $344.78 | $472.30 | $503.49 | |
MVP Health Care
| Facility | $472.30 | $472.30 | $648.92 | |
MVP Health Care
| Professional | $344.78 | $472.30 | $503.49 | |
United
| Professional | $305.39 | $663.52 | $1,020.70 |