| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $315.64 | $315.64 | $315.64 | |
Cigna
| Facility | $754.71 | $754.71 | $754.71 | |
MVP Health Care
| Facility | $754.71 | $754.71 | $754.71 | |
MVP Health Care
| Professional | $293.08 | $293.08 | $293.08 | |
United
| Professional | $189.38 | $450.91 | $1,041.78 |