| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $983.41 | $983.41 | $1,134.71 | |
Cigna
| Facility | $1,335.63 | $1,335.63 | $1,335.63 | |
Cigna
| Professional | $975.01 | $975.01 | $1,375.70 | |
MVP Health Care
| Facility | $1,335.63 | $1,335.63 | $1,335.63 | |
MVP Health Care
| Professional | $975.01 | $1,335.63 | $1,375.70 | |
United
| Professional | $670.25 | $1,193.75 | $2,329.69 |