| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $143.31 | $143.31 | $240.42 | |
Cigna
| Professional | $143.31 | $143.31 | $143.31 | |
MVP Health Care
| Professional | $143.31 | $143.31 | $143.31 | |
United
| Professional | $133.47 | $140.50 | $216.13 |