| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.10 | $89.13 | $123.03 | |
Cigna
| Professional | $89.13 | $89.13 | $120.23 | |
MVP Health Care
| Professional | $102.33 | $165.96 | $165.96 | |
United
| Professional | $81.28 | $128.82 | $229.09 |