| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.88 | $11.88 | $35.43 | |
Cigna
| Facility | $11.21 | $13.60 | $22.66 | |
Cigna
| Professional | $11.88 | $11.88 | $22.66 | |
MVP Health Care
| Facility | $11.21 | $13.60 | $22.66 | |
MVP Health Care
| Professional | $11.88 | $11.88 | $22.66 | |
United
| Professional | $11.47 | $11.88 | $35.64 |