| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.02 | $51.02 | $65.92 | |
Cigna
| Facility | $66.37 | $66.37 | $76.84 | |
Cigna
| Professional | $48.45 | $66.37 | $70.75 | |
MVP Health Care
| Facility | $66.37 | $66.37 | $76.84 | |
MVP Health Care
| Professional | $48.45 | $66.37 | $70.75 | |
United
| Professional | $34.77 | $61.93 | $120.87 |