| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.08 | $103.70 | $201.00 | |
Cigna
| Professional | $88.14 | $142.55 | $355.79 | |
MVP Health Care
| Professional | $105.95 | $145.65 | $355.79 | |
United
| Professional | $109.17 | $164.36 | $423.15 |