| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $189.90 | $189.90 | $189.90 | |
Aetna
| Professional | $13.99 | $18.00 | $18.55 | |
Cigna
| Facility | $21.09 | $21.09 | $21.09 | |
Cigna
| Professional | $7.20 | $17.51 | $30.87 | |
MVP Health Care
| Facility | $21.09 | $21.09 | $21.09 | |
MVP Health Care
| Professional | $8.27 | $14.46 | $18.07 | |
United
| Professional | $6.30 | $8.98 | $20.94 |