| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $142.97 | $175.91 | $175.91 | |
Cigna
| Professional | $161.82 | $225.13 | $462.43 | |
MVP Health Care
| Professional | $179.76 | $225.13 | $462.43 | |
United
| Professional | $176.33 | $203.72 | $567.59 |