| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.14 | $23.14 | $23.14 | |
Cigna
| Facility | $31.23 | $31.23 | $31.23 | |
Cigna
| Professional | $21.48 | $21.48 | $26.85 | |
MVP Health Care
| Facility | $31.23 | $31.23 | $31.23 | |
MVP Health Care
| Professional | $12.13 | $21.48 | $26.85 | |
United
| Professional | $11.20 | $11.20 | $26.12 |