| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.30 | $104.30 | $174.96 | |
Cigna
| Professional | $108.39 | $108.39 | $108.39 | |
MVP Health Care
| Professional | $108.39 | $108.39 | $108.39 | |
United
| Professional | $104.30 | $122.70 | $188.75 |