| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $660.69 | $812.83 | $1,174.90 | |
Cigna
| Facility | $1,584.89 | $1,584.89 | $1,584.89 | |
Cigna
| Professional | $954.99 | $954.99 | $954.99 | |
MVP Health Care
| Facility | $954.99 | $954.99 | $954.99 | |
MVP Health Care
| Professional | $954.99 | $954.99 | $954.99 | |
United
| Professional | $416.87 | $954.99 | $2,187.76 |