| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $263.03 | $323.59 | $467.74 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Cigna
| Professional | $380.19 | $380.19 | $380.19 | |
MVP Health Care
| Facility | $380.19 | $380.19 | $380.19 | |
MVP Health Care
| Professional | $380.19 | $380.19 | $380.19 | |
United
| Professional | $165.96 | $380.19 | $870.96 |