| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $556.50 | $985.80 | $985.80 | |
Cigna
| Facility | $1,330.63 | $1,330.63 | $1,330.63 | |
MVP Health Care
| Facility | $1,330.63 | $1,330.63 | $1,330.63 | |
MVP Health Care
| Professional | $516.75 | $516.75 | $516.75 | |
United
| Professional | $347.26 | $938.02 | $1,836.77 |