| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.88 | $15.14 | $22.91 | |
Cigna
| Facility | $30.90 | $30.90 | $30.90 | |
Cigna
| Professional | $21.38 | $21.38 | $26.92 | |
MVP Health Care
| Facility | $18.62 | $18.62 | $18.62 | |
United
| Facility | $6.46 | $6.46 | $6.46 | |
United
| Professional | $8.13 | $11.22 | $28.84 |