| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.23 | $18.23 | $21.03 | |
Cigna
| Facility | $21.38 | $21.38 | $21.38 | |
Cigna
| Professional | $15.61 | $19.53 | $22.78 | |
MVP Health Care
| Facility | $21.38 | $21.38 | $21.38 | |
MVP Health Care
| Professional | $15.61 | $21.38 | $22.78 | |
United
| Professional | $12.92 | $22.13 | $43.18 |