| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $716.53 | $716.53 | $826.76 | |
Cigna
| Facility | $1,038.85 | $1,038.85 | $1,079.19 | |
Cigna
| Professional | $758.37 | $836.96 | $1,107.48 | |
MVP Health Care
| Facility | $1,038.85 | $1,038.85 | $1,079.19 | |
MVP Health Care
| Professional | $758.37 | $1,038.85 | $1,107.48 | |
United
| Professional | $488.35 | $869.78 | $1,697.45 |