| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $840.72 | $840.72 | $970.07 | |
Cigna
| Facility | $1,266.25 | $1,324.18 | $1,324.18 | |
Cigna
| Professional | $966.65 | $1,305.65 | $1,363.91 | |
MVP Health Care
| Facility | $1,266.25 | $1,324.18 | $1,324.18 | |
MVP Health Care
| Professional | $966.65 | $1,324.18 | $1,363.91 | |
United
| Facility | $640.00 | $640.00 | $640.00 | |
United
| Professional | $573.00 | $1,241.69 | $1,991.67 |