| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $343.01 | $343.01 | $395.78 | |
Cigna
| Facility | $527.25 | $527.25 | $527.25 | |
Cigna
| Professional | $384.89 | $384.89 | $562.08 | |
MVP Health Care
| Facility | $527.25 | $527.25 | $527.25 | |
MVP Health Care
| Professional | $384.89 | $527.25 | $562.08 | |
United
| Professional | $233.78 | $528.24 | $812.60 |