| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.20 | $56.20 | $169.40 | |
Cigna
| Professional | $62.30 | $185.42 | $418.25 | |
MVP Health Care
| Professional | $62.30 | $185.42 | $418.25 | |
United
| Professional | $165.26 | $198.40 | $513.36 |