| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.77 | $14.49 | $14.49 | |
Cigna
| Professional | $17.05 | $17.05 | $17.05 | |
MVP Health Care
| Professional | $17.05 | $17.05 | $17.70 | |
United
| Professional | $17.05 | $17.05 | $51.15 |