| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.57 | $25.72 | $109.86 | |
Cigna
| Professional | $19.44 | $19.44 | $19.44 | |
MVP Health Care
| Professional | $19.44 | $19.44 | $19.44 | |
United
| Professional | $13.17 | $31.66 | $163.08 |