| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $210.50 | $281.93 | $281.93 | |
Cigna
| Facility | $307.55 | $307.55 | $307.55 | |
Cigna
| Professional | $261.42 | $261.42 | $261.42 | |
MVP Health Care
| Facility | $307.55 | $307.55 | $307.55 | |
United
| Professional | $166.53 | $269.39 | $416.32 |