| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.02 | $10.02 | $10.02 | |
Cigna
| Facility | $13.52 | $13.52 | $13.52 | |
Cigna
| Professional | $9.50 | $9.50 | $11.87 | |
MVP Health Care
| Facility | $13.52 | $13.52 | $13.52 | |
MVP Health Care
| Professional | $5.25 | $9.50 | $11.87 | |
United
| Professional | $4.84 | $4.84 | $11.31 |