| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $554.21 | $702.63 | $953.85 | |
Cigna
| Facility | $775.91 | $775.91 | $775.91 | |
Cigna
| Professional | $659.52 | $659.52 | $659.52 | |
MVP Health Care
| Facility | $775.91 | $775.91 | $775.91 | |
United
| Professional | $417.48 | $926.46 | $1,043.69 |