| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $166.98 | $205.70 | $205.70 | |
Cigna
| Professional | $205.70 | $205.70 | $205.70 | |
MVP Health Care
| Professional | $205.70 | $205.70 | $205.70 | |
United
| Professional | $220.00 | $220.00 | $660.00 |