| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,215.47 | $1,215.47 | $1,402.46 | |
Cigna
| Facility | $1,747.16 | $1,747.16 | $1,830.69 | |
Cigna
| Professional | $1,275.43 | $1,614.08 | $1,799.57 | |
MVP Health Care
| Facility | $1,747.16 | $1,747.16 | $1,830.69 | |
MVP Health Care
| Professional | $1,275.43 | $1,747.16 | $1,799.57 | |
United
| Professional | $861.55 | $1,475.45 | $2,879.44 |