| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.09 | $141.88 | $141.88 | |
Cigna
| Facility | $191.53 | $191.53 | $191.53 | |
MVP Health Care
| Facility | $191.53 | $191.53 | $191.53 | |
MVP Health Care
| Professional | $74.38 | $74.38 | $74.38 | |
United
| Professional | $48.06 | $114.43 | $514.94 |