| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $208.93 | $281.84 | $371.54 | |
Cigna
| Facility | $501.19 | $501.19 | $501.19 | |
Cigna
| Professional | $302.00 | $302.00 | $302.00 | |
MVP Health Care
| Facility | $302.00 | $302.00 | $302.00 | |
MVP Health Care
| Professional | $302.00 | $302.00 | $302.00 | |
United
| Professional | $131.83 | $181.97 | $691.83 |