| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.03 | $244.52 | $1,242.59 | |
Cigna
| Facility | $323.45 | $323.45 | $323.45 | |
Cigna
| Professional | $94.48 | $271.36 | $433.82 | |
MVP Health Care
| Facility | $323.45 | $323.45 | $323.45 | |
MVP Health Care
| Professional | $94.48 | $224.65 | $433.82 | |
United
| Professional | $84.41 | $197.48 | $869.63 |