| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.55 | $75.55 | $126.74 | |
Cigna
| Professional | $75.55 | $75.55 | $75.55 | |
MVP Health Care
| Professional | $75.55 | $75.55 | $75.55 | |
United
| Professional | $75.55 | $88.88 | $136.72 |