| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.52 | $61.52 | $61.52 | |
Cigna
| Professional | $61.52 | $61.52 | $110.51 | |
MVP Health Care
| Professional | $61.52 | $61.52 | $110.51 | |
United
| Professional | $60.32 | $62.73 | $139.36 |