| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $462.09 | $462.09 | $533.17 | |
Cigna
| Facility | $528.74 | $528.74 | $528.74 | |
Cigna
| Professional | $385.98 | $385.98 | $563.66 | |
MVP Health Care
| Facility | $528.74 | $528.74 | $528.74 | |
MVP Health Care
| Professional | $385.98 | $528.74 | $563.66 | |
United
| Professional | $327.52 | $711.61 | $1,094.68 |