| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.02 | $23.99 | $30.20 | |
Cigna
| Facility | $19.50 | $19.50 | $19.95 | |
Cigna
| Professional | $16.22 | $16.60 | $19.95 | |
MVP Health Care
| Professional | $30.90 | $38.90 | $39.81 | |
United
| Facility | $18.20 | $18.20 | $19.50 | |
United
| Professional | $13.80 | $29.51 | $83.18 |