| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.43 | $88.43 | $148.35 | |
Cigna
| Professional | $88.43 | $88.43 | $88.43 | |
MVP Health Care
| Professional | $88.43 | $88.43 | $88.43 | |
United
| Professional | $82.37 | $86.70 | $133.37 |