| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.32 | $128.50 | $602.57 | |
Cigna
| Professional | $142.41 | $262.50 | $1,152.49 | |
MVP Health Care
| Professional | $142.41 | $262.50 | $1,208.89 | |
United
| Professional | $492.98 | $725.62 | $2,308.77 |