| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.16 | $131.16 | $226.85 | |
Cigna
| Facility | $123.73 | $151.97 | $200.21 | |
Cigna
| Professional | $131.16 | $131.16 | $131.16 | |
MVP Health Care
| Facility | $123.73 | $151.97 | $200.21 | |
MVP Health Care
| Professional | $131.16 | $131.16 | $131.16 | |
United
| Professional | $124.60 | $139.03 | $333.63 |