| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $588.84 | $676.08 | $1,047.13 | |
Cigna
| Facility | $1,412.54 | $1,412.54 | $1,412.54 | |
Cigna
| Professional | $954.99 | $954.99 | $1,202.26 | |
MVP Health Care
| Facility | $831.76 | $831.76 | $831.76 | |
United
| Facility | $295.12 | $295.12 | $295.12 | |
United
| Professional | $363.08 | $501.19 | $1,288.25 |