| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $165.96 | $389.05 | |
Cigna
| Professional | $194.98 | $263.03 | $660.69 | |
MVP Health Care
| Professional | $204.17 | $302.00 | $302.00 | |
United
| Professional | $162.18 | $218.78 | $446.68 |