| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.74 | $45.25 | $45.25 | |
Cigna
| Professional | $45.25 | $45.25 | $45.25 | |
MVP Health Care
| Professional | $45.25 | $45.25 | $45.25 | |
United
| Professional | $44.36 | $44.36 | $133.08 |