| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $645.65 | $758.58 | |
Aetna
| Professional | $28.84 | $691.83 | $933.25 | |
Cigna
| Professional | $47.86 | $758.58 | $1,047.13 | |
MVP Health Care
| Professional | $758.58 | $1,071.52 | $1,445.44 | |
United
| Professional | $25.70 | $660.69 | $1,258.93 |