| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.57 | $89.57 | $89.57 | |
Cigna
| Professional | $89.10 | $116.23 | $243.85 | |
MVP Health Care
| Professional | $89.10 | $116.23 | $243.85 | |
United
| Professional | $76.95 | $97.83 | $299.30 |