| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $127.65 | $127.65 | $214.15 | |
Cigna
| Professional | $63.43 | $63.43 | $63.43 | |
MVP Health Care
| Professional | $63.43 | $63.43 | $63.43 | |
United
| Professional | $118.89 | $125.15 | $192.52 |