| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $629.36 | $629.36 | $726.18 | |
Cigna
| Facility | $930.44 | $930.44 | $947.91 | |
Cigna
| Professional | $679.22 | $837.57 | $991.89 | |
MVP Health Care
| Facility | $930.44 | $930.44 | $947.91 | |
MVP Health Care
| Professional | $679.22 | $930.44 | $991.89 | |
United
| Professional | $428.93 | $869.74 | $1,490.95 |