| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.38 | $219.11 | $2,829.20 | |
Cigna
| Facility | $736.45 | $736.45 | $736.45 | |
Cigna
| Professional | $242.79 | $266.50 | $988.45 | |
MVP Health Care
| Facility | $736.45 | $736.45 | $736.45 | |
MVP Health Care
| Professional | $242.79 | $266.50 | $988.45 | |
United
| Professional | $106.02 | $264.00 | $1,016.58 |