| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $711.75 | $711.75 | $821.25 | |
Cigna
| Facility | $967.10 | $967.10 | $967.10 | |
Cigna
| Professional | $705.98 | $705.98 | $996.11 | |
MVP Health Care
| Facility | $967.10 | $967.10 | $967.10 | |
MVP Health Care
| Professional | $705.98 | $967.10 | $996.11 | |
United
| Professional | $485.10 | $1,003.46 | $1,686.14 |