| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $51.29 | $51.29 | $51.29 |
Aetna
| Professional | $57.54 | $69.18 | $87.10 | |
Aetna
| Professional | 26 | $39.81 | $47.86 | $61.66 |
Cigna
| Professional | $70.79 | $85.11 | $144.54 | |
Cigna
| Professional | 26 | $48.98 | $60.26 | $102.33 |
MVP Health Care
| Professional | $75.86 | $89.13 | $239.88 | |
MVP Health Care
| Professional | 26 | $54.95 | $64.57 | $162.18 |
United
| Professional | $83.18 | $93.33 | $263.03 | |
United
| Professional | 26 | $52.48 | $66.07 | $186.21 |