| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $82.26 | $82.26 | $94.91 | |
Cigna
| Facility | $116.46 | $116.46 | $123.90 | |
Cigna
| Professional | $85.02 | $96.09 | $124.16 | |
MVP Health Care
| Facility | $116.46 | $116.46 | $123.90 | |
MVP Health Care
| Professional | $85.02 | $116.46 | $124.16 | |
United
| Professional | $56.06 | $99.86 | $194.87 |