| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.72 | $30.72 | $30.72 | |
Cigna
| Professional | $30.72 | $30.72 | $30.72 | |
MVP Health Care
| Professional | $11.43 | $30.72 | $30.72 | |
United
| Professional | $30.00 | $31.80 | $69.43 |