| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.00 | $85.00 | $85.00 | |
Cigna
| Professional | $85.00 | $85.00 | $85.00 | |
MVP Health Care
| Professional | $85.00 | $85.00 | $85.00 | |
United
| Professional | $160.91 | $160.91 | $482.76 |