| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $284.69 | $284.69 | $328.49 | |
Cigna
| Facility | $373.35 | $373.35 | $428.79 | |
Cigna
| Professional | $272.55 | $373.35 | $384.55 | |
MVP Health Care
| Facility | $373.35 | $373.35 | $428.79 | |
MVP Health Care
| Professional | $272.55 | $373.35 | $384.55 | |
United
| Professional | $194.04 | $345.58 | $674.44 |