| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $145.12 | $257.06 | $257.06 | |
Cigna
| Facility | $346.98 | $346.98 | $346.98 | |
Cigna
| Professional | $101.86 | $242.18 | $481.66 | |
MVP Health Care
| Facility | $346.98 | $346.98 | $346.98 | |
MVP Health Care
| Professional | $101.86 | $242.18 | $481.66 | |
United
| Professional | $90.55 | $282.83 | $932.90 |