| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $912.01 | $1,174.90 | $1,288.25 | |
Cigna
| Facility | $1,548.82 | $1,548.82 | $1,548.82 | |
Cigna
| Professional | $1,122.02 | $1,122.02 | $1,548.82 | |
MVP Health Care
| Professional | $1,659.59 | $2,089.30 | $2,570.40 | |
United
| Facility | $954.99 | $954.99 | $1,202.26 | |
United
| Professional | $741.31 | $1,479.11 | $4,466.84 |