| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $51.22 | $51.22 | $51.22 |
Aetna
| Professional | $61.08 | $72.23 | $72.23 | |
Aetna
| Professional | 26 | $43.93 | $51.22 | $51.22 |
Cigna
| Professional | $69.37 | $73.78 | $238.27 | |
Cigna
| Professional | 26 | $48.92 | $52.67 | $163.26 |
MVP Health Care
| Professional | $70.61 | $88.00 | $144.37 | |
MVP Health Care
| Professional | 26 | $49.02 | $62.44 | $102.55 |
United
| Professional | $90.68 | $93.28 | $263.61 | |
United
| Professional | 26 | $64.42 | $66.77 | $187.26 |