| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $794.51 | $794.51 | $794.51 | |
Cigna
| Facility | $1,072.41 | $1,072.41 | $1,072.41 | |
Cigna
| Professional | $736.38 | $827.19 | $920.47 | |
MVP Health Care
| Facility | $1,072.41 | $1,072.41 | $1,072.41 | |
MVP Health Care
| Professional | $416.47 | $736.38 | $920.47 | |
United
| Professional | $384.44 | $384.44 | $897.02 |