| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.83 | $41.83 | $70.16 | |
Cigna
| Facility | $21.86 | $21.86 | $25.72 | |
Cigna
| Professional | $25.72 | $25.72 | $25.72 | |
MVP Health Care
| Facility | $21.86 | $21.86 | $25.72 | |
MVP Health Care
| Professional | $25.72 | $25.72 | $25.72 | |
United
| Professional | $60.72 | $71.44 | $75.73 |