| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $160.94 | $175.68 | $215.55 | |
Cigna
| Facility | $147.10 | $147.10 | $147.10 | |
Cigna
| Professional | $107.38 | $125.04 | $151.51 | |
MVP Health Care
| Facility | $147.10 | $147.10 | $147.10 | |
MVP Health Care
| Professional | $107.38 | $125.04 | $151.51 | |
United
| Professional | $8.36 | $27.02 | $53.21 |