| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.93 | $18.93 | $18.93 | |
Cigna
| Facility | $22.99 | $22.99 | $22.99 | |
Cigna
| Professional | $15.69 | $15.69 | $19.62 | |
MVP Health Care
| Facility | $22.99 | $22.99 | $22.99 | |
MVP Health Care
| Professional | $9.93 | $15.69 | $19.62 | |
United
| Professional | $6.30 | $9.16 | $21.38 |