| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.04 | $17.04 | $20.52 | |
Cigna
| Facility | $27.60 | $27.60 | $27.60 | |
Cigna
| Professional | $20.14 | $27.60 | $40.36 | |
MVP Health Care
| Facility | $27.60 | $27.60 | $27.60 | |
MVP Health Care
| Professional | $20.14 | $27.60 | $40.36 | |
United
| Professional | $11.64 | $26.56 | $44.72 |