| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $212.66 | $212.66 | $212.66 | |
Cigna
| Professional | $153.00 | $153.00 | $208.52 | |
MVP Health Care
| Professional | $208.52 | $208.52 | $208.52 | |
United
| Professional | $166.25 | $325.14 | $385.25 |