| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $444.39 | $787.20 | $787.20 | |
Cigna
| Facility | $1,062.57 | $1,062.57 | $1,062.57 | |
MVP Health Care
| Facility | $1,062.57 | $1,062.57 | $1,062.57 | |
MVP Health Care
| Professional | $412.65 | $412.65 | $412.65 | |
United
| Professional | $277.30 | $634.84 | $1,466.73 |