| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $364.00 | $364.00 | $3,343.60 | |
Cigna
| Facility | $870.35 | $870.35 | $870.35 | |
Cigna
| Professional | $1,168.47 | $1,168.47 | $1,168.47 | |
MVP Health Care
| Facility | $870.35 | $870.35 | $870.35 | |
MVP Health Care
| Professional | $200.00 | $200.00 | $1,168.47 | |
United
| Professional | $227.14 | $520.00 | $2,340.00 |