| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $240.00 | $240.00 | $240.00 | |
Aetna
| Professional | $240.00 | $240.00 | $241.15 | |
Cigna
| Professional | $146.27 | $146.27 | $146.27 | |
MVP Health Care
| Professional | $146.27 | $146.27 | $146.27 | |
United
| Professional | $198.78 | $315.55 | $1,193.66 |