| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $386.56 | $386.56 | $446.03 | |
Cigna
| Facility | $525.23 | $525.23 | $525.23 | |
Cigna
| Professional | $383.42 | $383.42 | $559.92 | |
MVP Health Care
| Facility | $525.23 | $525.23 | $525.23 | |
MVP Health Care
| Professional | $383.42 | $525.23 | $559.92 | |
United
| Professional | $263.45 | $545.00 | $915.77 |