| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.86 | $205.24 | $205.24 | |
Cigna
| Facility | $249.31 | $249.31 | $249.31 | |
MVP Health Care
| Facility | $249.31 | $249.31 | $249.31 | |
MVP Health Care
| Professional | $107.59 | $107.59 | $107.59 | |
United
| Professional | $65.06 | $165.52 | $670.32 |