| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,786.30 | $4,786.30 | $4,786.30 | |
Aetna
| Professional | $426.58 | $588.84 | $1,479.11 | |
Cigna
| Professional | $389.05 | $660.69 | $1,047.13 | |
MVP Health Care
| Professional | $489.78 | $645.65 | $758.58 | |
United
| Professional | $537.03 | $660.69 | $1,905.46 |