| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $203.95 | $361.29 | $1,873.44 | |
Cigna
| Facility | $487.65 | $487.65 | $487.65 | |
Cigna
| Professional | $138.55 | $329.43 | $654.37 | |
MVP Health Care
| Facility | $487.65 | $487.65 | $487.65 | |
MVP Health Care
| Professional | $138.55 | $329.43 | $654.37 | |
United
| Professional | $127.27 | $291.80 | $673.16 |