| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $210.95 | $373.67 | $373.67 | |
Cigna
| Facility | $1,004.25 | $1,004.25 | $1,004.25 | |
MVP Health Care
| Facility | $1,004.25 | $1,004.25 | $1,004.25 | |
MVP Health Care
| Professional | $390.00 | $390.00 | $390.00 | |
United
| Professional | $131.63 | $301.35 | $2,700.00 |