| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $285.20 | $505.21 | $505.21 | |
Cigna
| Facility | $681.94 | $681.94 | $681.94 | |
MVP Health Care
| Facility | $681.94 | $681.94 | $681.94 | |
MVP Health Care
| Professional | $264.83 | $264.83 | $264.83 | |
United
| Professional | $177.97 | $407.43 | $941.33 |