| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $245.44 | $245.44 | $245.44 | |
Cigna
| Facility | $460.87 | $460.87 | $460.87 | |
MVP Health Care
| Facility | $460.87 | $460.87 | $460.87 | |
MVP Health Care
| Professional | $178.98 | $178.98 | $178.98 | |
United
| Professional | $120.27 | $275.35 | $1,239.08 |