| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $523.87 | $928.00 | $928.00 | |
Cigna
| Facility | $1,252.60 | $1,252.60 | $1,252.60 | |
MVP Health Care
| Facility | $1,252.60 | $1,252.60 | $1,252.60 | |
MVP Health Care
| Professional | $486.45 | $486.45 | $486.45 | |
United
| Professional | $314.32 | $748.39 | $1,729.08 |