| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $340.00 | $340.00 | $648.00 | |
Cigna
| Facility | $801.00 | $801.00 | $801.00 | |
MVP Health Care
| Facility | $801.00 | $801.00 | $801.00 | |
United
| Facility | $1,686.00 | $1,750.00 | $1,761.00 |