| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $208.93 | $251.19 | $363.08 | |
Cigna
| Facility | $489.78 | $489.78 | $489.78 | |
Cigna
| Professional | $141.25 | $316.23 | $446.68 | |
MVP Health Care
| Facility | $295.12 | $295.12 | $295.12 | |
MVP Health Care
| Professional | $295.12 | $295.12 | $295.12 | |
United
| Professional | $128.82 | $295.12 | $676.08 |