| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $129.63 | $229.65 | $229.65 | |
Cigna
| Facility | $309.98 | $309.98 | $309.98 | |
MVP Health Care
| Facility | $309.98 | $309.98 | $309.98 | |
MVP Health Care
| Professional | $120.38 | $120.38 | $120.38 | |
United
| Professional | $80.90 | $111.12 | $427.89 |