| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $318.82 | $564.76 | $564.76 | |
Cigna
| Facility | $686.08 | $686.08 | $686.08 | |
MVP Health Care
| Facility | $686.08 | $686.08 | $686.08 | |
MVP Health Care
| Professional | $296.04 | $296.04 | $296.04 | |
United
| Professional | $179.04 | $559.22 | $1,844.55 |