| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.64 | $27.64 | $46.37 | |
Cigna
| Professional | $27.64 | $27.64 | $27.64 | |
MVP Health Care
| Professional | $27.64 | $27.64 | $27.64 | |
United
| Professional | $27.10 | $27.10 | $28.18 |