| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,178.00 | $1,178.00 | $1,178.00 | |
Cigna
| Facility | $1,590.06 | $1,590.06 | $1,590.06 | |
Cigna
| Professional | $1,091.56 | $1,091.56 | $1,364.45 | |
MVP Health Care
| Facility | $1,590.06 | $1,590.06 | $1,590.06 | |
MVP Health Care
| Professional | $617.50 | $1,091.56 | $1,364.45 | |
United
| Professional | $570.00 | $570.00 | $1,330.00 |