| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.02 | $14.90 | $14.90 | |
Cigna
| Professional | $62.05 | $62.05 | $64.39 | |
MVP Health Care
| Professional | $62.05 | $62.05 | $62.05 | |
United
| Professional | $31.10 | $62.05 | $143.36 |