| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,144.10 | $1,144.10 | $1,144.10 | |
Aetna
| Professional | $963.68 | $1,144.10 | $1,144.10 | |
Cigna
| Professional | $862.68 | $1,400.13 | $4,759.50 | |
MVP Health Care
| Professional | $1,164.13 | $1,405.90 | $4,759.50 | |
United
| Professional | $830.62 | $2,459.52 | $7,150.00 |