| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $758.58 | $977.24 | $1,096.48 | |
Cigna
| Facility | $1,023.29 | $1,023.29 | $1,023.29 | |
Cigna
| Professional | $758.58 | $758.58 | $1,023.29 | |
MVP Health Care
| Professional | $1,412.54 | $1,737.80 | $2,187.76 | |
United
| Facility | $812.83 | $812.83 | $1,023.29 | |
United
| Professional | $616.60 | $1,258.93 | $3,715.35 |