| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $449.41 | $449.41 | $449.41 | |
Cigna
| Facility | $423.97 | $546.47 | $910.78 | |
Cigna
| Professional | $449.41 | $449.41 | $910.78 | |
MVP Health Care
| Facility | $423.97 | $546.47 | $910.78 | |
MVP Health Care
| Professional | $449.41 | $449.41 | $910.78 | |
United
| Professional | $449.41 | $476.37 | $1,348.23 |