| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.07 | $23.24 | $23.24 | |
Cigna
| Facility | $20.66 | $20.66 | $20.66 | |
Cigna
| Professional | $17.55 | $20.18 | $21.28 | |
MVP Health Care
| Facility | $20.66 | $20.66 | $20.66 | |
MVP Health Care
| Professional | $17.55 | $20.66 | $21.28 | |
United
| Professional | $11.44 | $20.93 | $39.77 |