| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $186.93 | $186.93 | $313.58 | |
Cigna
| Professional | $186.93 | $186.93 | $186.93 | |
MVP Health Care
| Professional | $186.93 | $186.93 | $186.93 | |
United
| Professional | $174.10 | $183.26 | $281.91 |