| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.32 | $121.32 | $139.97 | |
Cigna
| Facility | $116.51 | $116.51 | $116.51 | |
Cigna
| Professional | $85.05 | $85.05 | $124.20 | |
MVP Health Care
| Facility | $116.51 | $116.51 | $116.51 | |
MVP Health Care
| Professional | $85.05 | $116.50 | $124.20 | |
United
| Facility | $92.18 | $92.18 | $116.27 | |
United
| Professional | $82.68 | $147.26 | $287.39 |