| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $266.00 | $266.00 | $266.00 | |
Cigna
| Facility | $636.03 | $636.03 | $636.03 | |
MVP Health Care
| Facility | $636.03 | $636.03 | $636.03 | |
MVP Health Care
| Professional | $247.00 | $247.00 | $247.00 | |
United
| Professional | $165.98 | $532.00 | $877.95 |