| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $646.61 | $646.61 | $746.09 | |
Cigna
| Facility | $620.97 | $620.97 | $973.90 | |
Cigna
| Professional | $453.31 | $620.97 | $661.98 | |
MVP Health Care
| Facility | $620.97 | $620.97 | $973.90 | |
MVP Health Care
| Professional | $453.31 | $620.97 | $661.98 | |
United
| Professional | $440.70 | $784.92 | $1,531.82 |