| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.68 | $78.68 | $78.68 | |
Cigna
| Professional | $89.84 | $107.63 | $164.78 | |
MVP Health Care
| Professional | $89.84 | $107.63 | $164.78 | |
United
| Professional | $87.94 | $92.57 | $213.87 |