| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.59 | $18.59 | $31.94 | |
Cigna
| Facility | $17.54 | $21.20 | $35.33 | |
Cigna
| Professional | $18.59 | $18.59 | $18.59 | |
MVP Health Care
| Facility | $17.54 | $21.20 | $35.33 | |
MVP Health Care
| Professional | $18.59 | $18.59 | $18.59 | |
United
| Professional | $18.59 | $19.32 | $29.61 |