| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.86 | $12.86 | $12.86 | |
Cigna
| Facility | $12.13 | $14.02 | $23.37 | |
Cigna
| Professional | $12.86 | $12.86 | $23.37 | |
MVP Health Care
| Facility | $12.13 | $14.02 | $23.37 | |
MVP Health Care
| Professional | $12.86 | $12.86 | $23.37 | |
United
| Professional | $11.21 | $12.86 | $38.58 |