| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $547.63 | $547.63 | $547.63 | |
Aetna
| Professional | $404.35 | $547.63 | $547.63 | |
Cigna
| Professional | $328.51 | $548.47 | $673.49 | |
MVP Health Care
| Professional | $189.80 | $673.49 | $673.49 | |
United
| Professional | $354.34 | $699.03 | $1,044.42 |