| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $507.53 | $507.53 | $585.62 | |
Cigna
| Facility | $765.11 | $765.11 | $765.11 | |
Cigna
| Professional | $558.53 | $558.53 | $815.65 | |
MVP Health Care
| Facility | $765.11 | $765.11 | $765.11 | |
MVP Health Care
| Professional | $558.53 | $765.11 | $815.65 | |
United
| Professional | $359.75 | $766.46 | $1,202.33 |