| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.52 | $14.09 | $14.09 | |
Cigna
| Facility | $14.57 | $14.57 | $14.57 | |
Cigna
| Professional | $12.38 | $14.57 | $15.01 | |
MVP Health Care
| Facility | $14.57 | $14.57 | $14.57 | |
MVP Health Care
| Professional | $14.57 | $14.57 | $15.01 | |
United
| Professional | $7.50 | $15.77 | $21.81 |