| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $208.30 | $208.30 | $208.30 | |
Cigna
| Professional | $222.43 | $252.78 | $534.59 | |
MVP Health Care
| Professional | $222.43 | $252.78 | $534.59 | |
United
| Professional | $208.37 | $233.46 | $656.15 |