| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.88 | $28.88 | $48.45 | |
Cigna
| Professional | $28.88 | $28.88 | $28.88 | |
MVP Health Care
| Professional | $28.88 | $28.88 | $28.88 | |
United
| Professional | $26.90 | $28.32 | $29.45 |