| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.30 | $14.30 | $14.30 | |
Cigna
| Facility | $19.29 | $19.29 | $19.29 | |
Cigna
| Professional | $13.22 | $13.22 | $16.52 | |
MVP Health Care
| Facility | $19.29 | $19.29 | $19.29 | |
MVP Health Care
| Professional | $7.49 | $13.22 | $16.52 | |
United
| Professional | $6.92 | $6.92 | $16.14 |