| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $487.59 | $487.59 | $487.59 | |
Cigna
| Facility | $459.99 | $558.46 | $930.76 | |
Cigna
| Professional | $487.59 | $487.59 | $930.76 | |
MVP Health Care
| Facility | $459.99 | $558.46 | $930.76 | |
MVP Health Care
| Professional | $487.59 | $487.59 | $930.76 | |
United
| Professional | $487.59 | $487.59 | $1,462.77 |