| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $137.24 | $170.84 | $193.72 | |
Cigna
| Professional | $145.44 | $145.44 | $178.40 | |
MVP Health Care
| Professional | $178.40 | $178.40 | $178.40 | |
United
| Facility | $160.47 | $160.47 | $160.47 | |
United
| Professional | $176.57 | $210.44 | $256.19 |