| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.69 | $251.00 | $251.00 | |
Cigna
| Facility | $274.42 | $274.42 | $274.42 | |
MVP Health Care
| Facility | $274.42 | $274.42 | $274.42 | |
MVP Health Care
| Professional | $131.57 | $131.57 | $131.57 | |
United
| Professional | $71.62 | $223.69 | $737.82 |