| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.25 | $38.25 | $38.25 | |
Cigna
| Professional | $38.25 | $38.25 | $38.25 | |
MVP Health Care
| Professional | $38.25 | $38.25 | $38.25 | |
United
| Professional | $31.50 | $37.50 | $86.64 |