| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.22 | $19.98 | $19.98 | |
Cigna
| Facility | $20.05 | $20.05 | $20.05 | |
Cigna
| Professional | $6.30 | $12.38 | $15.47 | |
MVP Health Care
| Facility | $20.05 | $20.05 | $20.05 | |
MVP Health Care
| Professional | $7.79 | $12.38 | $15.47 | |
United
| Professional | $7.19 | $7.19 | $22.57 |