| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $816.98 | $1,094.18 | $1,094.18 | |
Cigna
| Facility | $109.87 | $109.87 | $109.87 | |
Cigna
| Professional | $93.39 | $109.87 | $113.17 | |
MVP Health Care
| Facility | $109.87 | $109.87 | $109.87 | |
MVP Health Care
| Professional | $93.39 | $109.87 | $113.17 | |
United
| Professional | $64.63 | $146.04 | $832.32 |