| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.43 | $18.43 | $18.43 | |
Cigna
| Facility | $32.75 | $32.75 | $32.75 | |
Cigna
| Professional | $10.29 | $20.63 | $25.78 | |
MVP Health Care
| Facility | $32.75 | $32.75 | $32.75 | |
MVP Health Care
| Professional | $12.72 | $20.63 | $25.78 | |
United
| Professional | $8.55 | $11.74 | $42.98 |