| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $551.01 | $976.07 | $976.07 | |
Cigna
| Facility | $1,317.50 | $1,317.50 | $1,317.50 | |
MVP Health Care
| Facility | $1,317.50 | $1,317.50 | $1,317.50 | |
MVP Health Care
| Professional | $511.65 | $511.65 | $511.65 | |
United
| Professional | $343.83 | $787.15 | $3,542.18 |