| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.00 | $42.00 | $87.20 | |
Cigna
| Professional | $39.75 | $39.75 | $39.75 | |
MVP Health Care
| Professional | $39.75 | $39.75 | $39.75 | |
United
| Professional | $21.57 | $51.86 | $233.37 |