| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $202.45 | $202.45 | $202.45 | |
Cigna
| Professional | $164.86 | $164.86 | $264.61 | |
MVP Health Care
| Professional | $264.61 | $264.61 | $264.61 | |
United
| Professional | $196.11 | $292.33 | $306.55 |