| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.37 | $142.58 | $177.03 | |
Cigna
| Professional | $89.14 | $165.07 | $443.12 | |
MVP Health Care
| Professional | $116.55 | $192.89 | $443.12 | |
United
| Professional | $159.69 | $212.93 | $618.99 |