| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $224.38 | $254.00 | $254.00 | |
Cigna
| Facility | $83.92 | $83.92 | $83.92 | |
Cigna
| Professional | $254.00 | $270.70 | $317.49 | |
MVP Health Care
| Facility | $83.92 | $83.92 | $83.92 | |
MVP Health Care
| Professional | $254.00 | $270.70 | $317.49 |