| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $167.81 | $167.81 | $167.81 | |
Cigna
| Professional | $179.45 | $209.90 | $443.99 | |
MVP Health Care
| Professional | $179.45 | $209.90 | $443.99 | |
United
| Professional | $171.68 | $210.99 | $544.95 |