| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $631.41 | $631.41 | $631.41 | |
Cigna
| Facility | $852.27 | $852.27 | $852.27 | |
Cigna
| Professional | $585.22 | $585.22 | $731.53 | |
MVP Health Care
| Facility | $852.27 | $852.27 | $852.27 | |
MVP Health Care
| Professional | $330.98 | $585.22 | $731.53 | |
United
| Professional | $305.52 | $305.52 | $712.88 |