| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.57 | $58.60 | $58.60 | |
Cigna
| Professional | $58.60 | $58.60 | $58.60 | |
MVP Health Care
| Professional | $58.60 | $58.60 | $58.60 | |
United
| Professional | $65.48 | $68.94 | $206.82 |