| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.37 | $16.57 | $16.57 | |
Cigna
| Facility | $17.30 | $17.30 | $17.30 | |
Cigna
| Professional | $14.71 | $14.71 | $14.71 | |
MVP Health Care
| Facility | $17.30 | $17.30 | $17.30 | |
United
| Professional | $12.75 | $18.55 | $24.00 |