| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $170.25 | $170.25 | $170.25 | |
Cigna
| Professional | $135.10 | $135.10 | $217.01 | |
MVP Health Care
| Professional | $135.10 | $135.10 | $217.01 | |
United
| Professional | $121.39 | $180.34 | $694.13 |