| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $164.60 | $181.06 | $238.66 | |
Cigna
| Professional | $175.41 | $175.41 | $175.41 | |
MVP Health Care
| Professional | $175.41 | $175.41 | $175.41 | |
United
| Professional | $148.87 | $187.09 | $287.80 |