| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $249.29 | $441.60 | $441.60 | |
Cigna
| Facility | $596.05 | $596.05 | $596.05 | |
MVP Health Care
| Facility | $596.05 | $596.05 | $596.05 | |
MVP Health Care
| Professional | $231.48 | $231.48 | $231.48 | |
United
| Professional | $155.56 | $356.13 | $1,602.59 |