| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $399.86 | $399.86 | $461.38 | |
Cigna
| Facility | $452.18 | $452.18 | $602.26 | |
Cigna
| Professional | $330.09 | $452.18 | $482.05 | |
MVP Health Care
| Facility | $452.18 | $452.18 | $602.26 | |
MVP Health Care
| Professional | $330.09 | $452.18 | $482.05 | |
United
| Professional | $283.43 | $485.39 | $947.28 |