| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $425.49 | $569.85 | $569.85 | |
Cigna
| Facility | $370.80 | $370.80 | $370.80 | |
Cigna
| Professional | $315.18 | $370.80 | $381.92 | |
MVP Health Care
| Facility | $370.80 | $370.80 | $370.80 | |
MVP Health Care
| Professional | $370.80 | $370.80 | $381.92 | |
United
| Professional | $212.74 | $531.85 | $562.92 |