| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.67 | $239.30 | $274.20 | |
Cigna
| Professional | $216.38 | $216.38 | $216.38 | |
MVP Health Care
| Professional | $216.38 | $216.38 | $216.38 | |
United
| Professional | $254.57 | $254.57 | $763.71 |