| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $18.20 | $21.88 | |
Cigna
| Professional | $18.20 | $21.38 | $102.33 | |
MVP Health Care
| Professional | $14.45 | $23.99 | $23.99 | |
United
| Professional | $14.45 | $23.99 | $72.44 |