| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.57 | $13.57 | $13.57 | |
Cigna
| Facility | $13.00 | $13.00 | $13.00 | |
Cigna
| Professional | $4.08 | $8.25 | $10.31 | |
MVP Health Care
| Facility | $13.00 | $13.00 | $13.00 | |
MVP Health Care
| Professional | $5.05 | $8.25 | $10.31 | |
United
| Professional | $3.39 | $6.52 | $17.46 |