| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $531.34 | $941.22 | $941.22 | |
Cigna
| Facility | $1,270.45 | $1,270.45 | $1,270.45 | |
MVP Health Care
| Facility | $1,270.45 | $1,270.45 | $1,270.45 | |
MVP Health Care
| Professional | $493.38 | $493.38 | $493.38 | |
United
| Professional | $331.55 | $759.05 | $3,415.73 |