| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $440.00 | $440.00 | $5,767.71 | |
Cigna
| Facility | $1,501.35 | $1,501.35 | $1,501.35 | |
Cigna
| Professional | $1,030.84 | $1,288.56 | $2,015.02 | |
MVP Health Care
| Facility | $1,501.35 | $1,501.35 | $1,501.35 | |
MVP Health Care
| Professional | $583.04 | $1,030.84 | $2,015.02 | |
United
| Professional | $391.81 | $538.20 | $2,072.42 |