| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.70 | $19.70 | $22.73 | |
Cigna
| Facility | $23.09 | $23.09 | $23.09 | |
Cigna
| Professional | $16.86 | $23.09 | $24.61 | |
MVP Health Care
| Facility | $23.09 | $23.09 | $23.09 | |
MVP Health Care
| Professional | $16.86 | $23.09 | $24.61 | |
United
| Professional | $13.42 | $23.91 | $46.66 |