| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $258.89 | $258.89 | $258.89 | |
Cigna
| Professional | $170.00 | $170.00 | $254.16 | |
MVP Health Care
| Professional | $254.16 | $254.16 | $254.16 | |
United
| Professional | $140.34 | $395.84 | $469.02 |