| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.86 | $205.23 | $205.23 | |
Cigna
| Facility | $681.94 | $681.94 | $681.94 | |
MVP Health Care
| Facility | $681.94 | $681.94 | $681.94 | |
MVP Health Care
| Professional | $107.58 | $107.58 | $107.58 | |
United
| Professional | $72.29 | $165.92 | $941.33 |