| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,036.00 | $1,036.00 | $1,195.39 | |
Cigna
| Facility | $1,407.05 | $1,407.05 | $1,407.05 | |
Cigna
| Professional | $1,027.15 | $1,027.15 | $1,027.15 | |
MVP Health Care
| Facility | $1,407.05 | $1,407.05 | $1,407.05 | |
MVP Health Care
| Professional | $1,027.15 | $1,027.15 | $1,027.15 | |
United
| Professional | $734.34 | $1,257.59 | $2,454.30 |