| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $385.05 | $385.05 | $444.29 | |
Cigna
| Facility | $564.36 | $564.36 | $564.36 | |
Cigna
| Professional | $411.98 | $411.98 | $581.29 | |
MVP Health Care
| Facility | $564.36 | $564.36 | $564.36 | |
MVP Health Care
| Professional | $411.98 | $564.36 | $581.29 | |
United
| Professional | $333.42 | $628.67 | $656.07 |