| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $158.56 | $158.56 | $266.00 | |
Cigna
| Professional | $158.56 | $158.56 | $158.56 | |
MVP Health Care
| Professional | $158.56 | $158.56 | $158.56 | |
United
| Professional | $102.09 | $155.44 | $161.66 |