| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.67 | $115.13 | $145.97 | |
Cigna
| Professional | $115.07 | $115.07 | $115.07 | |
MVP Health Care
| Professional | $115.07 | $115.07 | $115.07 | |
United
| Professional | $97.60 | $123.14 | $189.43 |