| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.69 | $79.69 | $133.68 | |
Cigna
| Professional | $79.50 | $79.50 | $79.50 | |
MVP Health Care
| Professional | $79.50 | $79.50 | $79.50 | |
United
| Professional | $77.09 | $90.69 | $139.51 |