| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $562.34 | $676.08 | $977.24 | |
Cigna
| Facility | $1,318.26 | $1,318.26 | $1,318.26 | |
Cigna
| Professional | $794.33 | $794.33 | $794.33 | |
MVP Health Care
| Facility | $794.33 | $794.33 | $794.33 | |
MVP Health Care
| Professional | $794.33 | $794.33 | $794.33 | |
United
| Professional | $346.74 | $794.33 | $1,819.70 |