| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $537.11 | $537.11 | $619.75 | |
Cigna
| Facility | $660.31 | $660.31 | $808.98 | |
Cigna
| Professional | $482.03 | $635.65 | $703.92 | |
MVP Health Care
| Facility | $660.31 | $660.31 | $808.98 | |
MVP Health Care
| Professional | $482.03 | $660.31 | $703.92 | |
United
| Professional | $366.07 | $767.27 | $1,272.43 |