| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.96 | $19.14 | $24.73 | |
Cigna
| Facility | $29.22 | $29.22 | $29.22 | |
Cigna
| Professional | $18.18 | $21.40 | $40.79 | |
MVP Health Care
| Facility | $29.22 | $29.22 | $29.22 | |
MVP Health Care
| Professional | $18.45 | $21.40 | $40.31 | |
United
| Professional | $18.71 | $24.13 | $53.29 |