| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.49 | $28.49 | $28.49 | |
Cigna
| Professional | $63.26 | $80.90 | $225.69 | |
MVP Health Care
| Professional | $80.90 | $80.90 | $225.69 | |
United
| Professional | $29.53 | $31.93 | $149.90 |