| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.87 | $53.87 | $90.38 | |
Cigna
| Professional | $53.87 | $53.87 | $53.87 | |
MVP Health Care
| Professional | $53.87 | $53.87 | $53.87 | |
United
| Professional | $50.18 | $52.82 | $81.25 |