| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $127.28 | $170.11 | $184.55 | |
Cigna
| Professional | $159.76 | $250.31 | $325.41 | |
MVP Health Care
| Professional | $152.32 | $217.68 | $325.41 | |
United
| Professional | $180.53 | $204.39 | $594.16 |