| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.05 | $57.05 | $57.05 | |
Cigna
| Professional | $71.95 | $77.02 | $162.63 | |
MVP Health Care
| Professional | $71.95 | $77.02 | $162.63 | |
United
| Professional | $62.39 | $67.47 | $239.34 |