| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.45 | $90.00 | $1,800.40 | |
Cigna
| Facility | $468.65 | $468.65 | $468.65 | |
Cigna
| Professional | $629.24 | $629.24 | $629.24 | |
MVP Health Care
| Facility | $468.65 | $468.65 | $468.65 | |
MVP Health Care
| Professional | $30.00 | $30.00 | $629.24 | |
United
| Professional | $122.30 | $280.00 | $646.91 |