| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.90 | $21.90 | $25.27 | |
Cigna
| Facility | $27.10 | $27.10 | $27.10 | |
Cigna
| Professional | $15.19 | $27.10 | $55.97 | |
MVP Health Care
| Facility | $27.10 | $27.10 | $27.10 | |
MVP Health Care
| Professional | $13.93 | $27.10 | $55.97 | |
United
| Professional | $15.53 | $33.72 | $51.87 |