| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.61 | $119.61 | $157.76 | |
Cigna
| Professional | $131.35 | $131.35 | $131.35 | |
MVP Health Care
| Professional | $131.35 | $131.35 | $131.35 | |
United
| Professional | $111.42 | $140.74 | $216.50 |