| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.28 | $161.37 | $293.39 | |
Cigna
| Professional | $118.13 | $173.15 | $455.91 | |
MVP Health Care
| Professional | $156.77 | $231.07 | $455.91 | |
United
| Professional | $167.69 | $223.58 | $649.96 |