| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $553.94 | $553.94 | $553.94 | |
Cigna
| Facility | $280.66 | $280.66 | $522.58 | |
Cigna
| Professional | $467.77 | $553.94 | $553.94 | |
MVP Health Care
| Facility | $280.66 | $280.66 | $522.58 | |
MVP Health Care
| Professional | $467.77 | $553.94 | $574.84 | |
United
| Professional | $553.94 | $553.94 | $1,661.82 |