| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $164.57 | $164.57 | $164.57 | |
Cigna
| Professional | $119.00 | $119.00 | $161.43 | |
MVP Health Care
| Professional | $161.43 | $161.43 | $161.43 | |
United
| Professional | $128.66 | $251.61 | $298.12 |