| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.28 | $53.28 | $53.28 | |
Cigna
| Professional | $0.09 | $0.09 | $52.37 | |
MVP Health Care
| Professional | $52.37 | $52.37 | $52.37 | |
United
| Professional | $28.87 | $81.45 | $96.51 |