| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $191.23 | $191.23 | $191.23 | |
Cigna
| Professional | $156.13 | $170.50 | $400.49 | |
MVP Health Care
| Professional | $170.50 | $170.50 | $400.49 | |
United
| Professional | $153.94 | $221.26 | $663.27 |