| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $145.49 | $145.49 | $145.49 | |
Cigna
| Facility | $137.25 | $153.88 | $229.58 | |
Cigna
| Professional | $145.49 | $145.49 | $229.58 | |
MVP Health Care
| Facility | $137.25 | $153.88 | $229.58 | |
MVP Health Care
| Professional | $145.49 | $145.49 | $229.58 | |
United
| Professional | $145.49 | $145.49 | $436.47 |