| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.21 | $76.48 | $100.55 | |
Cigna
| Professional | $89.28 | $89.28 | $89.28 | |
MVP Health Care
| Professional | $89.28 | $89.28 | $165.70 | |
United
| Professional | $103.29 | $137.72 | $224.73 |