| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $623.73 | $623.73 | $719.69 | |
Cigna
| Facility | $702.38 | $702.38 | $939.43 | |
Cigna
| Professional | $512.74 | $702.38 | $748.77 | |
MVP Health Care
| Facility | $702.38 | $702.38 | $939.43 | |
MVP Health Care
| Professional | $512.74 | $702.38 | $748.77 | |
United
| Professional | $425.10 | $844.92 | $1,477.61 |