| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.36 | $65.36 | $65.36 | |
Cigna
| Facility | $88.22 | $88.22 | $88.22 | |
Cigna
| Professional | $60.71 | $60.71 | $75.89 | |
MVP Health Care
| Facility | $88.22 | $88.22 | $88.22 | |
MVP Health Care
| Professional | $34.26 | $60.71 | $75.89 | |
United
| Professional | $31.50 | $31.63 | $73.79 |