| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $208.93 | $371.54 | $575.44 | |
Cigna
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
Cigna
| Professional | $602.56 | $602.56 | $602.56 | |
MVP Health Care
| Facility | $602.56 | $602.56 | $602.56 | |
MVP Health Care
| Professional | $302.00 | $602.56 | $602.56 | |
United
| Professional | $131.83 | $302.00 | $1,380.38 |