| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $291.75 | $516.80 | $516.80 | |
Cigna
| Facility | $697.59 | $697.59 | $697.59 | |
MVP Health Care
| Facility | $697.59 | $697.59 | $697.59 | |
MVP Health Care
| Professional | $270.91 | $270.91 | $270.91 | |
United
| Professional | $182.05 | $416.78 | $1,875.51 |