| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.33 | $70.16 | $109.59 | |
Cigna
| Professional | $65.33 | $65.33 | $65.33 | |
MVP Health Care
| Professional | $65.33 | $65.33 | $65.33 | |
United
| Professional | $64.05 | $64.05 | $147.97 |