| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $340.58 | $603.30 | $603.30 | |
Cigna
| Facility | $814.34 | $814.34 | $814.34 | |
MVP Health Care
| Facility | $814.34 | $814.34 | $814.34 | |
MVP Health Care
| Professional | $316.25 | $316.25 | $316.25 | |
United
| Professional | $212.52 | $486.54 | $1,124.09 |