| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.50 | $47.50 | $47.50 | |
Cigna
| Professional | $23.81 | $29.52 | $29.52 | |
MVP Health Care
| Professional | $23.81 | $29.52 | $29.52 | |
United
| Professional | $47.50 | $70.00 | $203.50 |