| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.40 | $10.40 | $10.40 | |
Cigna
| Professional | $8.19 | $10.40 | $10.40 | |
MVP Health Care
| Professional | $5.24 | $10.40 | $10.40 | |
United
| Professional | $9.81 | $10.81 | $23.57 |