| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $192.38 | $340.79 | $340.79 | |
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 | $120.05 | $274.83 | $1,236.74 |