| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.95 | $53.95 | $90.50 | |
Cigna
| Professional | $53.95 | $53.95 | $56.69 | |
MVP Health Care
| Professional | $53.95 | $53.95 | $56.69 | |
United
| Professional | $50.25 | $52.89 | $81.36 |