| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.55 | $228.59 | $1,293.63 | |
Cigna
| Facility | $414.01 | $414.01 | $414.01 | |
Cigna
| Professional | $168.15 | $305.86 | $714.59 | |
MVP Health Care
| Facility | $414.01 | $414.01 | $414.01 | |
MVP Health Care
| Professional | $173.28 | $304.81 | $714.59 | |
United
| Professional | $224.92 | $316.97 | $411.70 |