| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,496.79 | $1,496.79 | $1,496.79 | |
Cigna
| Facility | $482.77 | $482.77 | $482.77 | |
Cigna
| Professional | $410.35 | $410.35 | $410.35 | |
MVP Health Care
| Facility | $482.77 | $482.77 | $482.77 | |
MVP Health Care
| Professional | $410.35 | $410.35 | $1,596.38 | |
United
| Professional | $291.91 | $653.97 | $1,006.01 |