| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $289.74 | $289.74 | $289.74 | |
Cigna
| Professional | $198.79 | $198.79 | $369.32 | |
MVP Health Care
| Professional | $198.79 | $198.79 | $369.32 | |
United
| Professional | $159.07 | $253.02 | $1,079.59 |