| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $957.26 | $957.26 | $957.26 | |
Cigna
| Facility | $1,292.10 | $1,292.10 | $1,292.10 | |
Cigna
| Professional | $887.12 | $887.12 | $1,108.91 | |
MVP Health Care
| Facility | $1,292.10 | $1,292.10 | $1,292.10 | |
MVP Health Care
| Professional | $501.79 | $887.12 | $1,108.91 | |
United
| Professional | $463.19 | $463.19 | $1,080.77 |