| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $245.47 | $295.12 | $436.52 | |
Cigna
| Professional | $346.74 | $346.74 | $346.74 | |
MVP Health Care
| Facility | $346.74 | $346.74 | $346.74 | |
MVP Health Care
| Professional | $346.74 | $346.74 | $346.74 | |
United
| Professional | $151.36 | $346.74 | $812.83 |