| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $355.45 | $355.45 | $410.14 | |
Cigna
| Facility | $408.71 | $408.71 | $535.36 | |
Cigna
| Professional | $298.36 | $408.71 | $420.97 | |
MVP Health Care
| Facility | $408.71 | $408.71 | $535.36 | |
MVP Health Care
| Professional | $298.36 | $408.71 | $420.97 | |
United
| Professional | $251.95 | $431.48 | $842.07 |