| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.10 | $161.50 | $161.50 | |
Cigna
| Professional | $161.50 | $161.50 | $161.50 | |
MVP Health Care
| Professional | $161.50 | $161.50 | $161.50 | |
United
| Professional | $167.51 | $167.51 | $502.53 |