| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.36 | $23.36 | $26.96 | |
Cigna
| Facility | $27.38 | $27.38 | $27.38 | |
Cigna
| Professional | $11.05 | $19.98 | $28.20 | |
MVP Health Care
| Facility | $27.38 | $27.38 | $27.38 | |
MVP Health Care
| Professional | $11.05 | $27.38 | $28.20 | |
United
| Professional | $16.55 | $27.73 | $55.35 |