| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $977.24 | $977.24 | |
Aetna
| Professional | $204.17 | $363.08 | $426.58 | |
Cigna
| Facility | $691.83 | $691.83 | $691.83 | |
Cigna
| Professional | $275.42 | $616.60 | $870.96 | |
MVP Health Care
| Facility | $416.87 | $416.87 | $416.87 | |
MVP Health Care
| Professional | $416.87 | $416.87 | $575.44 | |
United
| Professional | $173.78 | $407.38 | $1,122.02 |