| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $10.96 | $18.20 | |
Cigna
| Facility | $22.91 | $22.91 | $22.91 | |
Cigna
| Professional | $15.85 | $15.85 | $19.50 | |
MVP Health Care
| Facility | $13.80 | $13.80 | $13.80 | |
United
| Facility | $4.79 | $4.79 | $4.79 | |
United
| Professional | $6.03 | $9.12 | $23.44 |