| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.85 | $160.05 | $183.55 | |
Cigna
| Professional | $147.91 | $147.91 | $147.91 | |
MVP Health Care
| Professional | $147.91 | $147.91 | $147.91 | |
United
| Professional | $342.87 | $342.87 | $1,028.60 |