| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,587.17 | $2,587.17 | $2,587.17 | |
Aetna
| Professional | $434.01 | $546.40 | $629.32 | |
Cigna
| Professional | $619.79 | $802.21 | $1,285.75 | |
MVP Health Care
| Professional | $619.79 | $778.29 | $1,285.75 | |
United
| Professional | $641.86 | $976.66 | $1,896.82 |