| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $760.86 | $760.86 | $877.91 | |
Cigna
| Facility | $891.71 | $891.71 | $891.71 | |
Cigna
| Professional | $650.95 | $650.95 | $918.46 | |
MVP Health Care
| Facility | $891.71 | $891.71 | $891.71 | |
MVP Health Care
| Professional | $650.95 | $891.71 | $918.46 | |
United
| Professional | $702.33 | $1,171.72 | $1,802.47 |