| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $362.10 | $484.95 | $484.95 | |
Cigna
| Facility | $316.74 | $316.74 | $316.74 | |
Cigna
| Professional | $269.23 | $316.74 | $326.24 | |
MVP Health Care
| Facility | $316.74 | $316.74 | $316.74 | |
MVP Health Care
| Professional | $316.74 | $316.74 | $326.24 | |
United
| Professional | $60.00 | $445.63 | $478.80 |