| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $930.00 | $930.00 | $930.00 | |
Cigna
| Facility | $1,255.31 | $1,255.31 | $1,255.31 | |
Cigna
| Professional | $861.93 | $861.93 | $1,077.41 | |
MVP Health Care
| Facility | $1,255.31 | $1,255.31 | $1,255.31 | |
MVP Health Care
| Professional | $487.50 | $861.93 | $1,077.41 | |
United
| Professional | $450.00 | $450.00 | $1,050.00 |