| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.62 | $49.62 | $83.25 | |
Cigna
| Professional | $49.62 | $49.62 | $49.62 | |
MVP Health Care
| Professional | $49.62 | $49.62 | $49.62 | |
United
| Professional | $46.22 | $48.65 | $74.84 |