| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $709.61 | $709.61 | $818.78 | |
Cigna
| Facility | $908.63 | $908.63 | $908.63 | |
Cigna
| Professional | $663.30 | $663.30 | $935.89 | |
MVP Health Care
| Facility | $908.63 | $908.63 | $908.63 | |
MVP Health Care
| Professional | $663.30 | $908.63 | $935.89 | |
United
| Professional | $483.64 | $1,092.79 | $1,681.05 |