| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.10 | $23.10 | $23.10 | |
Cigna
| Facility | $31.18 | $31.18 | $31.18 | |
Cigna
| Professional | $21.48 | $21.48 | $26.85 | |
MVP Health Care
| Facility | $31.18 | $31.18 | $31.18 | |
MVP Health Care
| Professional | $12.11 | $21.48 | $26.85 | |
United
| Professional | $11.18 | $11.18 | $26.08 |