| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.16 | $575.67 | $575.67 | |
Cigna
| Professional | $183.96 | $183.96 | $183.96 | |
MVP Health Care
| Professional | $183.96 | $183.96 | $183.96 | |
United
| Professional | $204.30 | $215.05 | $497.69 |