| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $210.73 | $210.73 | $210.73 | |
Aetna
| Professional | $197.14 | $210.73 | $274.35 | |
Cigna
| Professional | $222.71 | $301.89 | $370.72 | |
MVP Health Care
| Professional | $364.16 | $370.72 | $370.72 | |
United
| Professional | $268.73 | $511.29 | $679.85 |