| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $163.19 | $163.19 | $273.77 | |
Cigna
| Professional | $163.19 | $163.19 | $163.19 | |
MVP Health Care
| Professional | $163.19 | $163.19 | $163.19 | |
United
| Professional | $160.00 | $160.00 | $166.40 |