| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $118.17 | $118.17 | $118.17 | |
Cigna
| Facility | $143.56 | $143.56 | $143.56 | |
Cigna
| Professional | $131.75 | $131.75 | $164.68 | |
MVP Health Care
| Facility | $143.56 | $143.56 | $143.56 | |
MVP Health Care
| Professional | $61.95 | $131.75 | $164.68 | |
United
| Professional | $40.95 | $57.18 | $133.41 |