| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $504.00 | $892.80 | $892.80 | |
Cigna
| Facility | $1,205.09 | $1,205.09 | $1,205.09 | |
MVP Health Care
| Facility | $1,205.09 | $1,205.09 | $1,205.09 | |
MVP Health Care
| Professional | $468.00 | $468.00 | $468.00 | |
United
| Professional | $314.50 | $720.00 | $3,240.00 |