| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $478.63 | $575.44 | $851.14 | |
Cigna
| Facility | $1,148.15 | $1,148.15 | $1,148.15 | |
Cigna
| Professional | $676.08 | $676.08 | $676.08 | |
MVP Health Care
| Facility | $676.08 | $676.08 | $676.08 | |
MVP Health Care
| Professional | $676.08 | $676.08 | $676.08 | |
United
| Professional | $295.12 | $676.08 | $1,584.89 |