| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,168.69 | $4,168.69 | $4,168.69 | |
Aetna
| Professional | $75.86 | $208.93 | $478.63 | |
Cigna
| Professional | $89.13 | $141.25 | $363.08 | |
MVP Health Care
| Professional | $109.65 | $165.96 | $165.96 | |
United
| Professional | $74.13 | $134.90 | $263.03 |