| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $461.36 | $461.36 | $461.36 | |
Cigna
| Facility | $364.52 | $435.24 | $567.79 | |
Cigna
| Professional | $364.52 | $461.36 | $461.36 | |
MVP Health Care
| Facility | $364.52 | $435.24 | $567.79 | |
MVP Health Care
| Professional | $364.52 | $461.36 | $478.76 | |
United
| Professional | $461.36 | $461.36 | $1,384.08 |