| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.75 | $225.58 | $619.57 | |
Cigna
| Professional | $119.03 | $381.78 | $1,342.38 | |
MVP Health Care
| Professional | $120.10 | $532.54 | $1,342.38 | |
United
| Professional | $487.84 | $650.45 | $1,680.48 |