| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.73 | $194.37 | $194.37 | |
Cigna
| Facility | $262.37 | $262.37 | $262.37 | |
MVP Health Care
| Facility | $262.37 | $262.37 | $262.37 | |
MVP Health Care
| Professional | $101.89 | $101.89 | $101.89 | |
United
| Professional | $68.47 | $156.75 | $362.16 |