| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $711.52 | $711.52 | $820.98 | |
Cigna
| Facility | $969.19 | $969.19 | $969.19 | |
Cigna
| Professional | $707.51 | $707.51 | $1,139.65 | |
MVP Health Care
| Facility | $969.19 | $969.19 | $969.19 | |
MVP Health Care
| Professional | $707.51 | $707.51 | $1,139.65 | |
United
| Professional | $504.34 | $868.74 | $1,685.59 |