| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $251.20 | $444.97 | $444.97 | |
Cigna
| Facility | $540.54 | $540.54 | $540.54 | |
MVP Health Care
| Facility | $540.54 | $540.54 | $540.54 | |
MVP Health Care
| Professional | $233.25 | $233.25 | $233.25 | |
United
| Professional | $141.07 | $352.80 | $746.17 |