| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $12.02 | $18.20 | |
Cigna
| Facility | $25.12 | $25.12 | $25.12 | |
Cigna
| Professional | $14.79 | $14.79 | $14.79 | |
MVP Health Care
| Facility | $14.79 | $14.79 | $14.79 | |
MVP Health Care
| Professional | $14.79 | $14.79 | $14.79 | |
United
| Professional | $6.46 | $8.91 | $34.67 |