| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $437.77 | $437.77 | $437.77 | |
Aetna
| Professional | $352.37 | $437.77 | $437.77 | |
Cigna
| Professional | $285.99 | $464.34 | $570.21 | |
MVP Health Care
| Professional | $189.80 | $570.21 | $570.21 | |
United
| Professional | $354.34 | $558.79 | $1,030.08 |