| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.03 | $5.03 | $5.03 | |
Aetna
| Professional | $69.22 | $76.14 | $100.36 | |
Cigna
| Facility | $174.06 | $174.06 | $174.06 | |
Cigna
| Professional | $76.14 | $76.14 | $76.14 | |
MVP Health Care
| Facility | $174.06 | $174.06 | $174.06 | |
MVP Health Care
| Professional | $76.14 | $76.14 | $76.14 | |
United
| Professional | $73.48 | $81.43 | $125.26 |