| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.88 | $44.88 | $75.28 | |
Cigna
| Professional | $44.88 | $44.88 | $44.88 | |
MVP Health Care
| Professional | $44.88 | $44.88 | $44.88 | |
United
| Professional | $47.65 | $50.16 | $115.89 |