| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $22.91 | $37.15 | |
Cigna
| Professional | $25.12 | $39.81 | $107.15 | |
MVP Health Care
| Professional | $25.12 | $25.12 | $28.84 | |
United
| Professional | $15.14 | $34.67 | $75.86 |