| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $202.57 | $358.83 | $2,679.90 | |
Cigna
| Facility | $697.59 | $697.59 | $697.59 | |
Cigna
| Professional | $271.95 | $646.64 | $1,040.34 | |
MVP Health Care
| Facility | $697.59 | $697.59 | $697.59 | |
MVP Health Care
| Professional | $271.95 | $646.64 | $1,040.34 | |
United
| Professional | $173.63 | $405.13 | $962.93 |