| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.75 | $97.61 | $97.61 | |
Cigna
| Facility | $70.53 | $70.53 | $70.53 | |
Cigna
| Professional | $51.49 | $70.53 | $72.65 | |
MVP Health Care
| Facility | $70.53 | $70.53 | $70.53 | |
MVP Health Care
| Professional | $70.53 | $70.53 | $72.65 | |
United
| Professional | $56.31 | $107.16 | $140.77 |