| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $350.00 | $350.00 | $350.00 | |
Cigna
| Facility | $116.36 | $116.36 | $116.36 | |
Cigna
| Professional | $80.12 | $80.12 | $100.15 | |
MVP Health Care
| Facility | $116.36 | $116.36 | $116.36 | |
MVP Health Care
| Professional | $45.19 | $80.12 | $100.15 | |
United
| Professional | $41.71 | $69.52 | $152.63 |