| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $327.91 | $327.91 | $378.35 | |
Cigna
| Facility | $493.87 | $528.47 | $528.47 | |
Cigna
| Professional | $385.78 | $502.79 | $563.38 | |
MVP Health Care
| Facility | $493.87 | $528.47 | $528.47 | |
MVP Health Care
| Professional | $385.78 | $528.47 | $563.38 | |
United
| Professional | $223.48 | $477.94 | $776.80 |