| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $163.72 | $163.72 | $163.72 | |
Cigna
| Professional | $141.60 | $141.60 | $184.98 | |
MVP Health Care
| Professional | $184.98 | $184.98 | $184.98 | |
United
| Professional | $131.33 | $194.25 | $562.62 |