| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.88 | $27.54 | $32.36 | |
Cigna
| Facility | $25.70 | $25.70 | $25.70 | |
Cigna
| Professional | $21.88 | $21.88 | $25.70 | |
MVP Health Care
| Professional | $33.88 | $41.69 | $42.66 | |
United
| Facility | $16.60 | $16.60 | $19.50 | |
United
| Professional | $14.45 | $26.30 | $89.13 |