| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.49 | $12.49 | $12.49 | |
Cigna
| Facility | $11.78 | $14.18 | $23.64 | |
Cigna
| Professional | $12.49 | $12.49 | $23.64 | |
MVP Health Care
| Facility | $11.78 | $14.18 | $23.64 | |
MVP Health Care
| Professional | $12.49 | $12.49 | $23.64 | |
United
| Professional | $12.49 | $12.49 | $37.47 |