| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.66 | $11.29 | $22.35 | |
Cigna
| Facility | $15.32 | $15.32 | $15.32 | |
Cigna
| Professional | $12.95 | $23.29 | $63.35 | |
MVP Health Care
| Facility | $15.32 | $15.32 | $15.32 | |
MVP Health Care
| Professional | $12.95 | $23.29 | $63.35 | |
United
| Professional | $23.17 | $24.94 | $77.76 |