| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $401.46 | $401.46 | $463.22 | |
Cigna
| Facility | $402.56 | $402.56 | $604.66 | |
Cigna
| Professional | $293.87 | $402.56 | $414.64 | |
MVP Health Care
| Facility | $402.56 | $402.56 | $604.66 | |
MVP Health Care
| Professional | $293.87 | $402.56 | $414.64 | |
United
| Professional | $284.56 | $484.26 | $951.06 |