| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $92.94 | $92.94 | $107.24 | |
Cigna
| Facility | $112.22 | $112.22 | $112.22 | |
Cigna
| Professional | $81.92 | $81.92 | $144.62 | |
MVP Health Care
| Facility | $112.22 | $112.22 | $112.22 | |
MVP Health Care
| Professional | $81.92 | $81.92 | $144.62 | |
United
| Professional | $63.34 | $112.82 | $220.18 |