| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $170.58 | $235.04 | $269.32 | |
Cigna
| Professional | $160.94 | $160.94 | $160.94 | |
MVP Health Care
| Professional | $160.94 | $160.94 | $160.94 | |
United
| Professional | $100.25 | $240.98 | $1,178.78 |