| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.00 | $50.00 | $50.00 | |
Cigna
| Facility | $12.60 | $12.60 | $12.60 | |
Cigna
| Professional | $10.71 | $10.71 | $12.98 | |
MVP Health Care
| Facility | $12.60 | $12.60 | $12.60 | |
MVP Health Care
| Professional | $10.71 | $12.60 | $12.98 | |
United
| Professional | $9.19 | $18.77 | $33.97 |