| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $524.81 | $724.44 | $933.25 | |
Cigna
| Facility | $1,258.93 | $1,258.93 | $1,258.93 | |
Cigna
| Professional | $870.96 | $870.96 | $1,071.52 | |
MVP Health Care
| Facility | $758.58 | $758.58 | $758.58 | |
United
| Facility | $263.03 | $263.03 | $263.03 | |
United
| Professional | $331.13 | $446.68 | $1,148.15 |