| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $426.58 | $489.78 | $758.58 | |
Cigna
| Facility | $1,023.29 | $1,023.29 | $1,023.29 | |
Cigna
| Professional | $602.56 | $602.56 | $602.56 | |
MVP Health Care
| Facility | $602.56 | $602.56 | $602.56 | |
MVP Health Care
| Professional | $602.56 | $602.56 | $602.56 | |
United
| Professional | $263.03 | $363.08 | $1,412.54 |