| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $831.32 | $1,113.38 | $1,113.38 | |
Cigna
| Facility | $881.10 | $881.10 | $881.10 | |
Cigna
| Professional | $748.94 | $881.10 | $907.53 | |
MVP Health Care
| Facility | $881.10 | $881.10 | $881.10 | |
MVP Health Care
| Professional | $881.10 | $881.10 | $907.53 | |
United
| Professional | $555.41 | $1,081.44 | $1,388.56 |