| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $537.03 | $630.96 | $954.99 | |
Cigna
| Facility | $1,288.25 | $1,288.25 | $1,288.25 | |
Cigna
| Professional | $891.25 | $891.25 | $1,096.48 | |
MVP Health Care
| Facility | $776.25 | $776.25 | $776.25 | |
United
| Facility | $269.15 | $269.15 | $269.15 | |
United
| Professional | $338.84 | $467.74 | $1,174.90 |