| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $537.03 | $645.65 | $933.25 | |
Cigna
| Facility | $1,258.93 | $1,258.93 | $1,258.93 | |
Cigna
| Professional | $758.58 | $758.58 | $758.58 | |
MVP Health Care
| Facility | $758.58 | $758.58 | $758.58 | |
MVP Health Care
| Professional | $758.58 | $758.58 | $758.58 | |
United
| Professional | $331.13 | $758.58 | $1,737.80 |