| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.37 | $18.46 | $18.46 | |
Cigna
| Facility | $20.13 | $20.13 | $20.13 | |
Cigna
| Professional | $17.11 | $17.11 | $17.11 | |
MVP Health Care
| Facility | $20.13 | $20.13 | $20.13 | |
United
| Professional | $9.98 | $21.46 | $28.57 |