| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.85 | $109.00 | $191.16 | |
Cigna
| Professional | $130.32 | $210.20 | $594.38 | |
MVP Health Care
| Professional | $136.88 | $245.96 | $594.38 | |
United
| Professional | $155.96 | $186.74 | $703.60 |