| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $877.47 | $877.47 | $1,012.47 | |
Cigna
| Facility | $1,028.38 | $1,028.38 | $1,028.38 | |
Cigna
| Professional | $750.72 | $750.72 | $750.72 | |
MVP Health Care
| Facility | $1,028.38 | $1,028.38 | $1,028.38 | |
MVP Health Care
| Professional | $750.72 | $750.72 | $750.72 | |
United
| Professional | $598.04 | $1,065.16 | $2,078.73 |