| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $99.84 | $176.86 | $176.86 | |
Cigna
| Facility | $238.73 | $238.73 | $238.73 | |
MVP Health Care
| Facility | $238.73 | $238.73 | $238.73 | |
MVP Health Care
| Professional | $92.71 | $92.71 | $92.71 | |
United
| Professional | $62.30 | $164.79 | $329.53 |