| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.45 | $102.80 | $102.80 | |
Cigna
| Professional | $102.80 | $102.80 | $102.80 | |
MVP Health Care
| Professional | $102.80 | $102.80 | $102.80 | |
United
| Professional | $100.78 | $100.78 | $302.33 |