| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.10 | $20.10 | $179.00 | |
Cigna
| Professional | $182.29 | $182.29 | $182.29 | |
MVP Health Care
| Professional | $182.29 | $182.29 | $182.29 | |
United
| Professional | $172.00 | $216.91 | $565.38 |