| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,131.65 | $8,131.65 | $8,131.65 | |
Aetna
| Professional | $218.34 | $340.11 | $1,260.00 | |
Cigna
| Professional | $263.91 | $427.71 | $1,101.47 | |
MVP Health Care
| Professional | $332.16 | $443.85 | $1,101.47 | |
United
| Professional | $340.91 | $406.42 | $1,351.94 |