| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.75 | $63.75 | $106.95 | |
Cigna
| Professional | $63.75 | $63.75 | $63.75 | |
MVP Health Care
| Professional | $63.75 | $63.75 | $63.75 | |
United
| Professional | $59.38 | $62.50 | $182.99 |