| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.62 | $84.62 | $97.64 | |
Cigna
| Facility | $127.46 | $144.01 | $144.01 | |
Cigna
| Professional | $105.13 | $137.32 | $148.33 | |
MVP Health Care
| Facility | $127.46 | $144.01 | $144.01 | |
MVP Health Care
| Professional | $105.13 | $144.00 | $148.33 | |
United
| Professional | $59.98 | $102.72 | $200.47 |