| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,054.61 | $19,054.61 | $19,054.61 | |
Aetna
| Professional | $169.82 | $263.03 | $562.34 | |
Cigna
| Professional | $199.53 | $354.81 | $933.25 | |
MVP Health Care
| Professional | $275.42 | $398.11 | $691.83 | |
United
| Professional | $194.98 | $288.40 | $588.84 |