| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $14.13 | $18.20 | |
Cigna
| Facility | $30.90 | $30.90 | $30.90 | |
Cigna
| Professional | $9.55 | $19.05 | $23.99 | |
MVP Health Care
| Facility | $18.20 | $18.20 | $18.20 | |
United
| Facility | $6.46 | $6.46 | $6.46 | |
United
| Professional | $7.76 | $10.96 | $25.70 |