| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.98 | $88.38 | $88.38 | |
Cigna
| Facility | $57.76 | $57.76 | $57.76 | |
Cigna
| Professional | $49.10 | $57.76 | $59.49 | |
MVP Health Care
| Facility | $57.76 | $57.76 | $57.76 | |
MVP Health Care
| Professional | $57.76 | $57.76 | $59.49 | |
United
| Professional | $46.09 | $95.49 | $125.96 |