| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $340.00 | $340.00 | $340.00 | |
Cigna
| Facility | $410.00 | $611.00 | $1,014.00 | |
MVP Health Care
| Facility | $410.00 | $611.00 | $1,014.00 | |
United
| Facility | $400.00 | $813.00 | $1,175.00 |