| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $190.55 | $190.55 | |
Aetna
| Professional | $7.94 | $18.20 | $44.67 | |
Cigna
| Facility | $20.89 | $20.89 | $20.89 | |
Cigna
| Professional | $7.24 | $14.45 | $30.90 | |
MVP Health Care
| Facility | $12.59 | $12.59 | $12.59 | |
United
| Facility | $4.37 | $4.37 | $4.37 | |
United
| Professional | $5.50 | $8.91 | $29.51 |