| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.50 | $31.00 | $31.00 | |
Cigna
| Facility | $41.84 | $41.84 | $41.84 | |
MVP Health Care
| Facility | $41.84 | $41.84 | $41.84 | |
MVP Health Care
| Professional | $16.25 | $16.25 | $16.25 | |
United
| Professional | $10.92 | $25.00 | $112.50 |