| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $436.52 | $724.44 | $870.96 | |
Cigna
| Facility | $1,513.56 | $1,513.56 | $1,513.56 | |
Cigna
| Professional | $891.25 | $1,023.29 | $1,995.26 | |
MVP Health Care
| Facility | $891.25 | $891.25 | $891.25 | |
MVP Health Care
| Professional | $891.25 | $891.25 | $891.25 | |
United
| Facility | $316.23 | $316.23 | $316.23 | |
United
| Professional | $389.05 | $891.25 | $2,089.30 |