| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.35 | $177.87 | $561.10 | |
Cigna
| Professional | $141.88 | $238.63 | $685.20 | |
MVP Health Care
| Professional | $157.69 | $276.08 | $685.20 | |
United
| Professional | $206.35 | $259.38 | $841.01 |