| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $25.70 | $28.84 | |
Cigna
| Facility | $27.54 | $27.54 | $27.54 | |
Cigna
| Professional | $15.14 | $19.95 | $27.54 | |
MVP Health Care
| Professional | $37.15 | $46.77 | $58.88 | |
United
| Facility | $21.88 | $21.88 | $27.54 | |
United
| Professional | $16.60 | $33.11 | $100.00 |