| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.22 | $140.33 | $140.33 | |
Cigna
| Facility | $153.41 | $153.41 | $153.41 | |
MVP Health Care
| Facility | $153.41 | $153.41 | $153.41 | |
MVP Health Care
| Professional | $73.56 | $73.56 | $73.56 | |
United
| Professional | $40.04 | $125.06 | $412.47 |