| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $197.64 | $197.64 | $197.64 | |
Cigna
| Professional | $170.48 | $202.94 | $424.27 | |
MVP Health Care
| Professional | $170.48 | $202.94 | $424.27 | |
United
| Professional | $164.00 | $215.42 | $520.74 |