| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $172.56 | $305.68 | $305.68 | |
Cigna
| Facility | $460.00 | $460.00 | $460.00 | |
MVP Health Care
| Facility | $460.00 | $460.00 | $460.00 | |
MVP Health Care
| Professional | $178.64 | $178.64 | $178.64 | |
United
| Professional | $107.68 | $247.14 | $1,236.74 |