| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $289.08 | $289.08 | $484.96 | |
Cigna
| Facility | $340.78 | $340.78 | $340.78 | |
Cigna
| Professional | $289.08 | $289.08 | $289.08 | |
MVP Health Care
| Facility | $340.78 | $340.78 | $340.78 | |
MVP Health Care
| Professional | $289.08 | $289.08 | $289.08 | |
United
| Professional | $191.03 | $283.42 | $330.06 |