| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $133.72 | $203.75 | $1,873.44 | |
Cigna
| Facility | $487.65 | $487.65 | $487.65 | |
Cigna
| Professional | $400.88 | $440.56 | $654.37 | |
MVP Health Care
| Facility | $487.65 | $487.65 | $487.65 | |
MVP Health Care
| Professional | $90.00 | $440.56 | $654.37 | |
United
| Professional | $127.27 | $343.78 | $1,311.12 |