| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $398.83 | $398.83 | $460.19 | |
Cigna
| Facility | $510.69 | $510.69 | $510.69 | |
Cigna
| Professional | $434.09 | $434.09 | $526.01 | |
MVP Health Care
| Facility | $510.69 | $510.69 | $510.69 | |
MVP Health Care
| Professional | $434.09 | $510.69 | $526.01 | |
United
| Professional | $271.82 | $614.20 | $944.83 |