| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $146.50 | $146.50 | $169.04 | |
Cigna
| Facility | $165.40 | $165.40 | $220.65 | |
Cigna
| Professional | $120.74 | $165.40 | $176.33 | |
MVP Health Care
| Facility | $165.40 | $165.40 | $220.65 | |
MVP Health Care
| Professional | $120.74 | $165.40 | $176.33 | |
United
| Professional | $103.84 | $177.84 | $347.06 |