| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.35 | $43.35 | $43.35 | |
Cigna
| Facility | $268.14 | $268.14 | $268.14 | |
MVP Health Care
| Facility | $268.14 | $268.14 | $268.14 | |
United
| Professional | $44.99 | $64.22 | $82.44 |