| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $421.89 | $747.35 | $747.35 | |
Cigna
| Facility | $1,008.78 | $1,008.78 | $1,008.78 | |
MVP Health Care
| Facility | $1,008.78 | $1,008.78 | $1,008.78 | |
MVP Health Care
| Professional | $391.76 | $391.76 | $391.76 | |
United
| Professional | $263.26 | $602.70 | $2,712.15 |