| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.43 | $91.20 | $141.25 | |
Cigna
| Facility | $190.55 | $190.55 | $190.55 | |
Cigna
| Professional | $131.83 | $131.83 | $165.96 | |
MVP Health Care
| Facility | $114.82 | $114.82 | $114.82 | |
United
| Facility | $39.81 | $39.81 | $39.81 | |
United
| Professional | $47.86 | $69.18 | $177.83 |