| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $214.56 | $214.56 | $214.56 | |
Cigna
| Facility | $289.61 | $289.61 | $289.61 | |
Cigna
| Professional | $199.07 | $199.07 | $248.83 | |
MVP Health Care
| Facility | $289.61 | $289.61 | $289.61 | |
MVP Health Care
| Professional | $112.47 | $199.07 | $248.83 | |
United
| Professional | $103.82 | $103.82 | $242.24 |