| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $812.83 | $1,122.02 | $1,445.44 | |
Cigna
| Facility | $2,951.21 | $2,951.21 | $2,951.21 | |
Cigna
| Professional | $1,737.80 | $1,737.80 | $1,737.80 | |
MVP Health Care
| Facility | $1,737.80 | $1,737.80 | $1,737.80 | |
MVP Health Care
| Professional | $1,174.90 | $1,737.80 | $1,737.80 | |
United
| Professional | $512.86 | $1,174.90 | $4,073.80 |