| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $212.18 | $284.17 | $284.17 | |
Cigna
| Facility | $229.50 | $229.50 | $229.50 | |
Cigna
| Professional | $195.08 | $229.50 | $236.39 | |
MVP Health Care
| Facility | $229.50 | $229.50 | $229.50 | |
MVP Health Care
| Professional | $229.50 | $229.50 | $236.39 | |
United
| Professional | $150.12 | $319.25 | $440.03 |