| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $329.15 | $329.15 | $379.79 | |
Cigna
| Facility | $419.04 | $419.04 | $495.75 | |
Cigna
| Professional | $305.89 | $419.04 | $446.71 | |
MVP Health Care
| Facility | $419.04 | $419.04 | $495.75 | |
MVP Health Care
| Professional | $305.89 | $419.04 | $446.71 | |
United
| Professional | $224.34 | $399.55 | $779.75 |