| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $588.84 | $794.33 | $1,047.13 | |
Cigna
| Facility | $1,412.54 | $1,412.54 | $1,412.54 | |
Cigna
| Professional | $851.14 | $851.14 | $851.14 | |
MVP Health Care
| Facility | $851.14 | $851.14 | $851.14 | |
MVP Health Care
| Professional | $851.14 | $851.14 | $851.14 | |
United
| Professional | $371.54 | $512.86 | $1,949.84 |