| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $418.54 | $741.41 | $741.41 | |
Cigna
| Facility | $1,000.75 | $1,000.75 | $1,000.75 | |
MVP Health Care
| Facility | $1,000.75 | $1,000.75 | $1,000.75 | |
MVP Health Care
| Professional | $388.64 | $388.64 | $388.64 | |
United
| Professional | $261.17 | $597.91 | $1,381.41 |