| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.91 | $47.91 | $47.91 | |
Cigna
| Professional | $54.91 | $65.89 | $139.58 | |
MVP Health Care
| Professional | $54.91 | $65.89 | $139.58 | |
United
| Professional | $49.01 | $53.98 | $171.32 |