| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $262.68 | $465.31 | $465.31 | |
Cigna
| Facility | $628.07 | $628.07 | $628.07 | |
MVP Health Care
| Facility | $628.07 | $628.07 | $628.07 | |
MVP Health Care
| Professional | $243.91 | $243.91 | $243.91 | |
United
| Professional | $163.91 | $225.15 | $866.98 |