| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.53 | $26.00 | $31.94 | |
Cigna
| Facility | $30.59 | $30.59 | $30.59 | |
Cigna
| Professional | $22.33 | $30.59 | $32.61 | |
MVP Health Care
| Facility | $30.59 | $30.59 | $30.59 | |
MVP Health Care
| Professional | $22.33 | $30.59 | $32.61 | |
United
| Professional | $15.35 | $31.83 | $53.36 |