| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $170.95 | $170.95 | $170.95 | |
Cigna
| Professional | $306.00 | $306.00 | $306.00 | |
MVP Health Care
| Professional | $306.00 | $306.00 | $306.00 | |
United
| Professional | $300.00 | $306.00 | $693.12 |