| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $124.20 | $153.00 | $153.00 | |
Cigna
| Professional | $153.00 | $153.00 | $153.00 | |
MVP Health Care
| Professional | $153.00 | $153.00 | $153.00 | |
United
| Professional | $180.00 | $180.00 | $540.00 |