| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,390.47 | $1,390.47 | $1,604.39 | |
Cigna
| Facility | $1,960.76 | $1,960.76 | $2,094.26 | |
Cigna
| Professional | $1,431.35 | $1,958.78 | $2,090.26 | |
MVP Health Care
| Facility | $1,960.76 | $1,960.76 | $2,094.26 | |
MVP Health Care
| Professional | $1,431.35 | $1,960.76 | $2,090.26 | |
United
| Professional | $985.58 | $2,141.32 | $3,294.01 |