| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.30 | $20.26 | $100.90 | |
Cigna
| Professional | $10.65 | $10.65 | $10.65 | |
MVP Health Care
| Professional | $5.40 | $10.65 | $10.65 | |
United
| Professional | $8.51 | $12.16 | $91.17 |