| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.55 | $71.55 | $71.55 | |
Cigna
| Facility | $67.50 | $74.23 | $81.00 | |
Cigna
| Professional | $71.55 | $71.55 | $74.23 | |
MVP Health Care
| Facility | $67.50 | $74.23 | $81.00 | |
MVP Health Care
| Professional | $71.55 | $71.55 | $74.25 | |
United
| Professional | $20.19 | $71.55 | $214.65 |