| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.96 | $15.14 | $16.98 | |
Cigna
| Facility | $15.85 | $15.85 | $21.38 | |
Cigna
| Professional | $11.48 | $11.48 | $15.85 | |
MVP Health Care
| Professional | $22.39 | $26.92 | $33.88 | |
United
| Facility | $12.59 | $13.49 | $15.85 | |
United
| Professional | $10.00 | $19.50 | $60.26 |