| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $915.09 | $915.09 | $915.09 | |
Cigna
| Facility | $560.30 | $560.30 | $933.85 | |
Cigna
| Professional | $915.09 | $915.09 | $933.85 | |
MVP Health Care
| Facility | $560.30 | $560.30 | $933.85 | |
MVP Health Care
| Professional | $915.09 | $915.09 | $949.62 | |
United
| Professional | $915.09 | $915.09 | $2,745.27 |