| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $467.74 | $562.34 | $812.83 | |
Cigna
| Professional | $660.69 | $660.69 | $660.69 | |
MVP Health Care
| Facility | $660.69 | $660.69 | $660.69 | |
MVP Health Care
| Professional | $660.69 | $660.69 | $660.69 | |
United
| Professional | $288.40 | $398.11 | $1,513.56 |