| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $875.37 | $875.37 | $875.37 | |
Aetna
| Professional | $656.95 | $875.37 | $875.37 | |
Cigna
| Professional | $574.29 | $892.42 | $1,095.85 | |
MVP Health Care
| Professional | $364.16 | $1,095.85 | $1,095.85 | |
United
| Professional | $679.85 | $1,117.33 | $1,976.38 |