| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $561.52 | $561.52 | $647.90 | |
Cigna
| Facility | $582.20 | $582.20 | $845.74 | |
Cigna
| Professional | $425.01 | $582.20 | $620.66 | |
MVP Health Care
| Facility | $582.20 | $582.20 | $845.74 | |
MVP Health Care
| Professional | $425.01 | $582.20 | $620.66 | |
United
| Facility | $500.36 | $500.36 | $500.36 | |
United
| Professional | $382.70 | $681.62 | $1,330.22 |