| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $172.56 | $305.68 | $305.68 | |
Cigna
| Facility | $681.94 | $681.94 | $681.94 | |
MVP Health Care
| Facility | $681.94 | $681.94 | $681.94 | |
MVP Health Care
| Professional | $160.24 | $160.24 | $160.24 | |
United
| Professional | $107.68 | $345.13 | $941.33 |