| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.82 | $22.82 | $22.82 | |
Cigna
| Facility | $30.80 | $30.80 | $30.80 | |
Cigna
| Professional | $21.06 | $21.06 | $26.33 | |
MVP Health Care
| Facility | $30.80 | $30.80 | $30.80 | |
MVP Health Care
| Professional | $11.96 | $21.06 | $26.33 | |
United
| Professional | $8.03 | $11.04 | $25.76 |