| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.11 | $264.70 | $1,536.23 | |
Cigna
| Professional | $192.52 | $309.95 | $1,001.31 | |
MVP Health Care
| Professional | $239.60 | $382.12 | $1,001.31 | |
United
| Professional | $266.37 | $408.35 | $1,229.00 |