| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.62 | $115.62 | $142.86 | |
Cigna
| Professional | $80.93 | $80.93 | $80.93 | |
MVP Health Care
| Professional | $80.93 | $80.93 | $80.93 | |
United
| Professional | $84.11 | $168.94 | $186.92 |