| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.76 | $13.26 | $13.26 | |
Cigna
| Professional | $13.26 | $13.26 | $13.26 | |
MVP Health Care
| Professional | $13.26 | $13.26 | $13.26 | |
United
| Professional | $13.00 | $13.00 | $39.00 |