| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.14 | $42.14 | $70.70 | |
Cigna
| Professional | $42.14 | $42.14 | $42.14 | |
MVP Health Care
| Professional | $42.14 | $42.14 | $42.14 | |
United
| Professional | $33.47 | $41.31 | $63.55 |