| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $676.08 | $851.14 | $977.24 | |
Cigna
| Facility | $891.25 | $891.25 | $891.25 | |
Cigna
| Professional | $645.65 | $645.65 | $891.25 | |
MVP Health Care
| Professional | $1,202.26 | $1,513.56 | $1,905.46 | |
United
| Facility | $933.25 | $933.25 | $1,122.02 | |
United
| Professional | $537.03 | $1,174.90 | $3,235.94 |