| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.58 | $119.58 | $198.24 | |
Cigna
| Professional | $119.58 | $119.58 | $119.58 | |
MVP Health Care
| Professional | $119.58 | $119.58 | $119.58 | |
United
| Professional | $111.38 | $117.24 | $180.35 |