| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.06 | $147.90 | $147.90 | |
Cigna
| Professional | $147.90 | $147.90 | $147.90 | |
MVP Health Care
| Professional | $147.90 | $147.90 | $147.90 | |
United
| Professional | $145.00 | $145.00 | $435.00 |