| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.70 | $70.70 | $70.70 | |
Cigna
| Facility | $66.69 | $83.25 | $138.75 | |
Cigna
| Professional | $70.70 | $70.70 | $138.75 | |
MVP Health Care
| Facility | $66.69 | $83.25 | $138.75 | |
MVP Health Care
| Professional | $70.70 | $70.70 | $138.75 | |
United
| Professional | $70.70 | $70.70 | $212.10 |