| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $483.20 | $855.96 | $855.96 | |
Cigna
| Facility | $1,155.38 | $1,155.38 | $1,155.38 | |
MVP Health Care
| Facility | $1,155.38 | $1,155.38 | $1,155.38 | |
MVP Health Care
| Professional | $448.69 | $448.69 | $448.69 | |
United
| Professional | $301.52 | $690.29 | $3,106.31 |