| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $274.89 | $368.18 | $368.18 | |
Cigna
| Facility | $338.00 | $338.00 | $338.00 | |
Cigna
| Professional | $287.30 | $338.00 | $348.14 | |
MVP Health Care
| Facility | $338.00 | $338.00 | $338.00 | |
MVP Health Care
| Professional | $338.00 | $338.00 | $348.14 | |
United
| Professional | $134.60 | $336.50 | $387.86 |