| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.30 | $97.96 | $97.96 | |
Cigna
| Facility | $132.22 | $132.22 | $132.22 | |
MVP Health Care
| Facility | $132.22 | $132.22 | $132.22 | |
MVP Health Care
| Professional | $51.35 | $51.35 | $51.35 | |
United
| Professional | $34.51 | $79.00 | $355.50 |