| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $417.98 | $417.98 | $482.28 | |
Cigna
| Facility | $624.54 | $624.54 | $624.54 | |
Cigna
| Professional | $455.91 | $455.91 | $665.79 | |
MVP Health Care
| Facility | $624.54 | $624.54 | $624.54 | |
MVP Health Care
| Professional | $455.91 | $624.54 | $665.79 | |
United
| Professional | $284.88 | $589.27 | $990.18 |