| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $804.55 | $1,077.53 | $1,077.53 | |
Cigna
| Facility | $504.00 | $504.00 | $504.00 | |
Cigna
| Professional | $428.40 | $504.00 | $519.12 | |
MVP Health Care
| Facility | $504.00 | $504.00 | $504.00 | |
MVP Health Care
| Professional | $504.00 | $504.00 | $519.12 | |
United
| Professional | $598.00 | $1,875.04 | $2,342.55 |