| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.06 | $87.46 | $609.17 | |
Cigna
| Facility | $158.57 | $158.57 | $158.57 | |
Cigna
| Professional | $171.88 | $189.20 | $229.48 | |
MVP Health Care
| Facility | $158.57 | $158.57 | $158.57 | |
MVP Health Care
| Professional | $73.68 | $189.20 | $229.48 | |
United
| Professional | $41.38 | $75.15 | $218.89 |