| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $234.60 | $234.60 | $234.60 | |
Cigna
| Professional | $57.66 | $57.66 | $63.60 | |
MVP Health Care
| Professional | $57.66 | $57.66 | $63.60 | |
United
| Professional | $262.20 | $292.56 | $637.66 |