| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $526.44 | $526.44 | $526.44 | |
Aetna
| Professional | $391.60 | $507.29 | $526.44 | |
Cigna
| Professional | $346.77 | $562.12 | $690.30 | |
MVP Health Care
| Professional | $189.80 | $690.30 | $690.30 | |
United
| Professional | $354.34 | $671.96 | $1,042.38 |