| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.26 | $21.27 | $21.27 | |
Cigna
| Professional | $21.27 | $21.27 | $21.27 | |
MVP Health Care
| Professional | $21.27 | $21.27 | $21.27 | |
United
| Professional | $21.27 | $21.48 | $64.44 |