| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $182.31 | $182.31 | $182.31 | |
Cigna
| Professional | $150.88 | $150.88 | $232.38 | |
MVP Health Care
| Professional | $150.88 | $150.88 | $232.38 | |
United
| Professional | $150.91 | $188.22 | $415.34 |