| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.65 | $147.91 | $223.87 | |
Cigna
| Facility | $263.03 | $263.03 | $263.03 | |
Cigna
| Professional | $158.49 | $158.49 | $158.49 | |
MVP Health Care
| Facility | $158.49 | $158.49 | $158.49 | |
MVP Health Care
| Professional | $158.49 | $158.49 | $158.49 | |
United
| Professional | $69.18 | $93.33 | $363.08 |