| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $935.26 | $1,656.75 | $1,656.75 | |
Cigna
| Facility | $2,236.28 | $2,236.28 | $2,236.28 | |
MVP Health Care
| Facility | $2,236.28 | $2,236.28 | $2,236.28 | |
MVP Health Care
| Professional | $868.46 | $868.46 | $868.46 | |
United
| Professional | $583.60 | $1,336.09 | $6,012.41 |