| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.48 | $295.12 | $478.63 | |
Cigna
| Facility | $660.69 | $660.69 | $660.69 | |
Cigna
| Professional | $446.68 | $446.68 | $562.34 | |
MVP Health Care
| Facility | $389.05 | $389.05 | $389.05 | |
United
| Facility | $138.04 | $138.04 | $138.04 | |
United
| Professional | $169.82 | $234.42 | $549.54 |