| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.58 | $186.67 | $193.13 | |
Cigna
| Facility | $268.14 | $268.14 | $268.14 | |
MVP Health Care
| Facility | $268.14 | $268.14 | $268.14 | |
United
| Professional | $77.40 | $249.89 | $311.77 |