| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.47 | $198.40 | $411.65 | |
Aetna
| Professional | 50 | $188.40 | $943.50 | $1,054.50 |
Cigna
| Professional | $121.85 | $237.53 | $566.01 | |
MVP Health Care
| Professional | $222.49 | $237.53 | $566.01 | |
United
| Professional | $209.91 | $221.62 | $694.71 |