| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $230.66 | $408.59 | $1,929.00 | |
Cigna
| Facility | $502.13 | $502.13 | $502.13 | |
Cigna
| Professional | $157.76 | $453.08 | $673.84 | |
MVP Health Care
| Facility | $502.13 | $502.13 | $502.13 | |
MVP Health Care
| Professional | $157.76 | $375.10 | $673.84 | |
United
| Professional | $131.04 | $329.51 | $693.12 |