| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $489.78 | $588.84 | $870.96 | |
Cigna
| Professional | $707.95 | $707.95 | $707.95 | |
MVP Health Care
| Facility | $707.95 | $707.95 | $707.95 | |
MVP Health Care
| Professional | $707.95 | $707.95 | $707.95 | |
United
| Professional | $309.03 | $707.95 | $1,621.81 |