| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.49 | $988.49 | $988.49 | |
Aetna
| Professional | $204.19 | $361.71 | $2,679.90 | |
Cigna
| Facility | $697.59 | $697.59 | $697.59 | |
Cigna
| Professional | $273.16 | $649.49 | $1,040.34 | |
MVP Health Care
| Facility | $697.59 | $697.59 | $697.59 | |
MVP Health Care
| Professional | $273.16 | $649.49 | $1,040.34 | |
United
| Professional | $175.02 | $408.38 | $1,875.51 |