| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $226.64 | $226.64 | $261.50 | |
Cigna
| Facility | $273.14 | $273.14 | $273.14 | |
Cigna
| Professional | $199.40 | $199.40 | $291.19 | |
MVP Health Care
| Facility | $273.14 | $273.14 | $273.14 | |
MVP Health Care
| Professional | $199.40 | $273.14 | $291.19 | |
United
| Professional | $154.46 | $293.29 | $536.90 |