| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $25.70 | $42.66 | |
Cigna
| Facility | $47.86 | $47.86 | $47.86 | |
Cigna
| Professional | $14.79 | $29.51 | $36.31 | |
MVP Health Care
| Facility | $28.18 | $28.18 | $28.18 | |
United
| Facility | $10.00 | $10.00 | $10.00 | |
United
| Professional | $12.30 | $20.89 | $53.70 |