| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $315.77 | $422.93 | $422.93 | |
Cigna
| Facility | $461.38 | $461.38 | $461.38 | |
Cigna
| Professional | $392.17 | $392.17 | $392.17 | |
MVP Health Care
| Facility | $461.38 | $461.38 | $461.38 | |
United
| Professional | $249.81 | $404.13 | $624.53 |