| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.55 | $54.55 | $91.52 | |
Cigna
| Professional | $54.55 | $54.55 | $54.55 | |
MVP Health Care
| Professional | $54.55 | $54.55 | $54.55 | |
United
| Professional | $53.60 | $56.42 | $86.79 |