| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $537.03 | $616.60 | $933.25 | |
Cigna
| Facility | $1,258.93 | $1,258.93 | $1,258.93 | |
Cigna
| Professional | $870.96 | $870.96 | $1,096.48 | |
MVP Health Care
| Facility | $758.58 | $758.58 | $758.58 | |
United
| Facility | $263.03 | $263.03 | $263.03 | |
United
| Professional | $331.13 | $457.09 | $1,071.52 |