| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $477.60 | $477.60 | $477.60 | |
Cigna
| Facility | $1,141.99 | $1,141.99 | $1,141.99 | |
MVP Health Care
| Facility | $1,141.99 | $1,141.99 | $1,141.99 | |
MVP Health Care
| Professional | $443.49 | $443.49 | $443.49 | |
United
| Professional | $298.02 | $691.18 | $1,576.36 |