| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $128.82 | $199.53 | |
Cigna
| Facility | $269.15 | $269.15 | $269.15 | |
Cigna
| Professional | $181.97 | $181.97 | $229.09 | |
MVP Health Care
| Facility | $158.49 | $158.49 | $158.49 | |
United
| Facility | $56.23 | $56.23 | $56.23 | |
United
| Professional | $69.18 | $95.50 | $223.87 |