| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $467.74 | $575.44 | $831.76 | |
Cigna
| Facility | $1,122.02 | $1,122.02 | $1,122.02 | |
Cigna
| Professional | $676.08 | $676.08 | $676.08 | |
MVP Health Care
| Facility | $676.08 | $676.08 | $676.08 | |
MVP Health Care
| Professional | $676.08 | $676.08 | $676.08 | |
United
| Professional | $295.12 | $676.08 | $1,548.82 |