| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $301.22 | $534.91 | $1,333.00 | |
Cigna
| Facility | $346.98 | $346.98 | $346.98 | |
Cigna
| Professional | $517.34 | $592.45 | $650.84 | |
MVP Health Care
| Facility | $346.98 | $346.98 | $346.98 | |
MVP Health Care
| Professional | $115.00 | $592.45 | $650.84 | |
United
| Professional | $90.55 | $290.23 | $663.61 |