| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $420.00 | $744.00 | $744.00 | |
Cigna
| Facility | $1,004.25 | $1,004.25 | $1,004.25 | |
MVP Health Care
| Facility | $1,004.25 | $1,004.25 | $1,004.25 | |
MVP Health Care
| Professional | $390.00 | $390.00 | $390.00 | |
United
| Professional | $262.08 | $600.00 | $1,386.24 |