| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.78 | $173.50 | $1,308.51 | |
Cigna
| Facility | $340.62 | $340.62 | $340.62 | |
Cigna
| Professional | $304.35 | $334.61 | $457.33 | |
MVP Health Care
| Facility | $340.62 | $340.62 | $340.62 | |
MVP Health Care
| Professional | $132.28 | $334.61 | $457.33 | |
United
| Professional | $88.89 | $221.66 | $915.75 |