| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.08 | $55.08 | $92.39 | |
Cigna
| Facility | $79.79 | $79.79 | $79.79 | |
Cigna
| Professional | $55.08 | $55.08 | $55.08 | |
MVP Health Care
| Facility | $79.79 | $79.79 | $79.79 | |
MVP Health Care
| Professional | $55.08 | $55.08 | $55.08 | |
United
| Professional | $54.00 | $55.08 | $57.24 |