| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.83 | $21.83 | $25.19 | |
Cigna
| Facility | $29.64 | $29.64 | $32.89 | |
Cigna
| Professional | $21.64 | $21.64 | $27.87 | |
MVP Health Care
| Facility | $29.64 | $29.64 | $32.89 | |
MVP Health Care
| Professional | $21.64 | $21.64 | $27.87 | |
United
| Professional | $14.88 | $26.50 | $51.72 |