| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.35 | $115.35 | $411.65 | |
Cigna
| Professional | $57.25 | $117.79 | $278.75 | |
MVP Health Care
| Professional | $116.68 | $123.83 | $278.75 | |
United
| Professional | $87.59 | $129.72 | $342.14 |