| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.44 | $279.64 | $1,372.99 | |
Cigna
| Professional | $164.66 | $267.20 | $1,005.12 | |
MVP Health Care
| Professional | $175.42 | $349.17 | $1,005.12 | |
United
| Professional | $277.33 | $363.90 | $1,233.68 |