| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $422.92 | $422.92 | $487.98 | |
Cigna
| Facility | $636.98 | $695.50 | $695.50 | |
Cigna
| Professional | $507.72 | $652.51 | $741.45 | |
MVP Health Care
| Facility | $636.98 | $695.50 | $695.50 | |
MVP Health Care
| Professional | $507.72 | $695.50 | $741.45 | |
United
| Professional | $299.77 | $513.37 | $1,001.89 |