| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $111.83 | $137.77 | $137.77 | |
Cigna
| Professional | $162.08 | $162.08 | $162.08 | |
MVP Health Care
| Professional | $162.08 | $162.08 | $168.19 | |
United
| Professional | $31.48 | $162.08 | $486.24 |