| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $194.62 | $194.62 | $224.57 | |
Cigna
| Facility | $214.95 | $214.95 | $293.14 | |
Cigna
| Professional | $156.91 | $205.21 | $229.14 | |
MVP Health Care
| Facility | $214.95 | $214.95 | $293.14 | |
MVP Health Care
| Professional | $156.91 | $214.95 | $229.14 | |
United
| Professional | $146.88 | $299.72 | $461.06 |