| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.23 | $181.97 | $218.78 | |
Cigna
| Facility | $181.97 | $181.97 | $181.97 | |
Cigna
| Professional | $131.83 | $131.83 | $186.21 | |
MVP Health Care
| Professional | $281.84 | $302.00 | $389.05 | |
United
| Facility | $144.54 | $144.54 | $181.97 | |
United
| Professional | $131.83 | $229.09 | $812.83 |