| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $26.92 | $33.88 | |
Cigna
| Facility | $29.51 | $29.51 | $34.67 | |
Cigna
| Professional | $21.88 | $21.88 | $31.62 | |
MVP Health Care
| Professional | $37.15 | $46.77 | $63.10 | |
United
| Facility | $31.62 | $31.62 | $52.48 | |
United
| Professional | $16.60 | $35.48 | $100.00 |