| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.60 | $73.50 | $98.56 | |
Cigna
| Professional | $57.66 | $57.66 | $57.66 | |
MVP Health Care
| Professional | $57.66 | $57.66 | $57.66 | |
United
| Professional | $59.93 | $82.90 | $323.33 |