| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $198.02 | $350.77 | $350.77 | |
Cigna
| Facility | $473.47 | $473.47 | $473.47 | |
MVP Health Care
| Facility | $473.47 | $473.47 | $473.47 | |
MVP Health Care
| Professional | $183.87 | $183.87 | $183.87 | |
United
| Professional | $118.81 | $282.88 | $653.57 |