| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $660.69 | $776.25 | $1,174.90 | |
Cigna
| Facility | $1,584.89 | $1,584.89 | $1,584.89 | |
Cigna
| Professional | $1,096.48 | $1,096.48 | $1,348.96 | |
MVP Health Care
| Facility | $954.99 | $954.99 | $954.99 | |
United
| Facility | $331.13 | $331.13 | $331.13 | |
United
| Professional | $416.87 | $575.44 | $1,445.44 |