| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $171.91 | $217.84 | $291.75 | |
Cigna
| Facility | $235.00 | $238.50 | $238.50 | |
Cigna
| Professional | $202.73 | $238.50 | $245.66 | |
MVP Health Care
| Facility | $235.00 | $238.50 | $238.50 | |
MVP Health Care
| Professional | $235.00 | $238.50 | $245.66 | |
United
| Facility | $30.18 | $170.10 | $226.90 | |
United
| Professional | $114.52 | $286.30 | $339.08 |