| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.42 | $26.01 | $26.01 | |
Cigna
| Facility | $28.37 | $28.37 | $28.37 | |
Cigna
| Professional | $24.11 | $28.37 | $28.37 | |
MVP Health Care
| Facility | $28.37 | $28.37 | $28.37 | |
MVP Health Care
| Professional | $28.37 | $28.37 | $28.37 | |
United
| Professional | $15.36 | $34.71 | $38.40 |