| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.41 | $21.41 | $21.41 | |
Cigna
| Facility | $28.92 | $28.92 | $28.92 | |
Cigna
| Professional | $19.82 | $19.82 | $24.78 | |
MVP Health Care
| Facility | $28.92 | $28.92 | $28.92 | |
MVP Health Care
| Professional | $11.23 | $19.82 | $24.78 | |
United
| Professional | $10.36 | $10.36 | $24.18 |