| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.98 | $28.26 | $28.26 | |
Cigna
| Facility | $29.06 | $29.06 | $29.06 | |
Cigna
| Professional | $24.70 | $28.35 | $29.93 | |
MVP Health Care
| Facility | $29.06 | $29.06 | $29.06 | |
MVP Health Care
| Professional | $24.70 | $28.35 | $29.93 | |
United
| Professional | $14.46 | $31.43 | $48.35 |