| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $18.20 | $25.12 | |
Cigna
| Professional | $18.20 | $21.38 | $117.49 | |
MVP Health Care
| Professional | $14.45 | $27.54 | $27.54 | |
United
| Professional | $16.22 | $27.54 | $83.18 |