| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $323.59 | $446.68 | $602.56 | |
Cigna
| Facility | $776.25 | $776.25 | $776.25 | |
Cigna
| Professional | $537.03 | $537.03 | $660.69 | |
MVP Health Care
| Facility | $467.74 | $467.74 | $467.74 | |
United
| Facility | $162.18 | $162.18 | $162.18 | |
United
| Professional | $204.17 | $275.42 | $645.65 |