| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.80 | $131.80 | $131.80 | |
Cigna
| Professional | $109.51 | $109.51 | $168.00 | |
MVP Health Care
| Professional | $109.51 | $109.51 | $168.00 | |
United
| Professional | $117.70 | $152.81 | $586.16 |