| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $19.95 | $21.88 | |
Cigna
| Facility | $21.38 | $21.38 | $21.38 | |
Cigna
| Professional | $15.49 | $15.49 | $30.90 | |
MVP Health Care
| Professional | $29.51 | $36.31 | $45.71 | |
United
| Facility | $16.98 | $16.98 | $21.38 | |
United
| Professional | $12.88 | $26.30 | $77.62 |