| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.70 | $39.90 | $55.85 | |
Cigna
| Professional | $21.50 | $25.43 | $25.43 | |
MVP Health Care
| Professional | $21.50 | $25.43 | $25.43 | |
United
| Professional | $20.43 | $44.38 | $252.95 |