| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $145.12 | $257.06 | $257.06 | |
Cigna
| Facility | $806.98 | $806.98 | $806.98 | |
MVP Health Care
| Facility | $806.98 | $806.98 | $806.98 | |
MVP Health Care
| Professional | $130.00 | $130.00 | $130.00 | |
United
| Professional | $90.55 | $290.23 | $2,169.63 |