| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.22 | $103.22 | $173.16 | |
Cigna
| Professional | $11.82 | $11.82 | $20.18 | |
MVP Health Care
| Professional | $20.18 | $20.18 | $20.18 | |
United
| Professional | $79.69 | $101.19 | $105.24 |