| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $326.32 | $578.04 | $578.04 | |
Cigna
| Facility | $780.25 | $780.25 | $780.25 | |
MVP Health Care
| Facility | $780.25 | $780.25 | $780.25 | |
MVP Health Care
| Professional | $303.01 | $303.01 | $303.01 | |
United
| Professional | $203.62 | $279.70 | $1,077.04 |