| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.97 | $13.08 | $17.52 | |
Cigna
| Facility | $21.85 | $21.85 | $28.68 | |
Cigna
| Professional | $18.57 | $21.85 | $28.68 | |
MVP Health Care
| Facility | $21.85 | $21.85 | $28.68 | |
MVP Health Care
| Professional | $21.85 | $21.85 | $28.68 | |
United
| Professional | $10.35 | $21.31 | $27.13 |