| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.02 | $15.85 | $20.89 | |
Cigna
| Facility | $28.84 | $28.84 | $28.84 | |
Cigna
| Professional | $19.95 | $19.95 | $24.55 | |
MVP Health Care
| Facility | $17.38 | $17.38 | $17.38 | |
United
| Facility | $6.03 | $6.03 | $6.03 | |
United
| Professional | $7.59 | $10.47 | $26.30 |