| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.31 | $89.31 | $89.31 | |
Cigna
| Professional | $89.31 | $89.31 | $89.31 | |
MVP Health Care
| Professional | $89.31 | $89.31 | $89.31 | |
United
| Professional | $77.45 | $92.81 | $191.80 |