| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.05 | $12.05 | $12.05 | |
Cigna
| Facility | $28.81 | $28.81 | $28.81 | |
MVP Health Care
| Facility | $28.81 | $28.81 | $28.81 | |
MVP Health Care
| Professional | $11.19 | $11.19 | $11.19 | |
United
| Professional | $7.52 | $17.21 | $77.45 |