| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $719.07 | $719.07 | $5,877.02 | |
Cigna
| Facility | $1,529.81 | $1,529.81 | $1,529.81 | |
Cigna
| Professional | $1,050.26 | $1,312.82 | $2,053.94 | |
MVP Health Care
| Facility | $1,529.81 | $1,529.81 | $1,529.81 | |
MVP Health Care
| Professional | $640.00 | $1,050.26 | $2,053.94 | |
United
| Professional | $399.24 | $548.40 | $2,111.71 |