| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.11 | $131.83 | $275.42 | |
Cigna
| Professional | $125.89 | $125.89 | $125.89 | |
MVP Health Care
| Professional | $125.89 | $125.89 | $125.89 | |
United
| Professional | $44.67 | $44.67 | $117.49 |