| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.80 | $62.80 | $72.45 | |
Cigna
| Facility | $94.58 | $104.66 | $104.66 | |
Cigna
| Professional | $73.51 | $88.96 | $107.80 | |
MVP Health Care
| Facility | $94.58 | $104.66 | $104.66 | |
MVP Health Care
| Professional | $73.51 | $104.66 | $107.80 | |
United
| Professional | $44.51 | $96.71 | $148.77 |