| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.95 | $117.82 | $795.26 | |
Cigna
| Facility | $207.00 | $207.00 | $207.00 | |
Cigna
| Professional | $231.96 | $254.61 | $308.94 | |
MVP Health Care
| Facility | $207.00 | $207.00 | $207.00 | |
MVP Health Care
| Professional | $99.25 | $254.61 | $308.94 | |
United
| Professional | $54.02 | $168.73 | $556.55 |