| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.89 | $166.32 | $166.32 | |
Cigna
| Facility | $224.49 | $224.49 | $224.49 | |
MVP Health Care
| Facility | $224.49 | $224.49 | $224.49 | |
MVP Health Care
| Professional | $87.18 | $87.18 | $87.18 | |
United
| Professional | $58.59 | $187.78 | $309.89 |