| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.84 | $19.84 | $19.84 | |
Cigna
| Facility | $26.78 | $26.78 | $26.78 | |
Cigna
| Professional | $18.17 | $18.17 | $22.72 | |
MVP Health Care
| Facility | $26.78 | $26.78 | $26.78 | |
MVP Health Care
| Professional | $10.40 | $18.17 | $22.72 | |
United
| Professional | $9.60 | $9.60 | $22.40 |