| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $425.72 | $754.13 | $754.13 | |
Cigna
| Facility | $1,017.92 | $1,017.92 | $1,017.92 | |
MVP Health Care
| Facility | $1,017.92 | $1,017.92 | $1,017.92 | |
MVP Health Care
| Professional | $395.31 | $395.31 | $395.31 | |
United
| Professional | $265.64 | $608.16 | $1,405.12 |