| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.74 | $289.13 | $387.23 | |
Cigna
| Facility | $318.39 | $318.39 | $318.39 | |
Cigna
| Professional | $270.64 | $270.64 | $592.28 | |
MVP Health Care
| Facility | $318.39 | $318.39 | $318.39 | |
MVP Health Care
| Professional | $270.64 | $318.39 | $592.28 | |
United
| Professional | $16.45 | $43.89 | $110.65 |