| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.71 | $186.21 | $190.55 | |
Cigna
| Facility | $331.13 | $331.13 | $331.13 | |
Cigna
| Professional | $194.98 | $371.54 | $489.78 | |
MVP Health Care
| Facility | $199.53 | $199.53 | $199.53 | |
MVP Health Care
| Professional | $199.53 | $199.53 | $269.15 | |
United
| Professional | $87.10 | $269.15 | $537.03 |