| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.19 | $78.19 | $90.22 | |
Cigna
| Facility | $75.09 | $75.09 | $117.77 | |
Cigna
| Professional | $54.82 | $75.09 | $80.05 | |
MVP Health Care
| Facility | $75.09 | $75.09 | $117.77 | |
MVP Health Care
| Professional | $54.82 | $75.09 | $80.05 | |
United
| Professional | $54.43 | $94.91 | $185.23 |