| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $369.51 | $654.55 | $654.55 | |
Cigna
| Facility | $883.53 | $883.53 | $883.53 | |
MVP Health Care
| Facility | $883.53 | $883.53 | $883.53 | |
MVP Health Care
| Professional | $343.12 | $343.12 | $343.12 | |
United
| Professional | $230.57 | $527.87 | $1,219.58 |