| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.90 | $132.68 | $132.68 | |
Cigna
| Facility | $179.09 | $179.09 | $179.09 | |
MVP Health Care
| Facility | $179.09 | $179.09 | $179.09 | |
MVP Health Care
| Professional | $69.55 | $69.55 | $69.55 | |
United
| Professional | $46.74 | $107.00 | $247.21 |