| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.65 | $138.04 | $190.55 | |
Cigna
| Professional | $162.18 | $239.88 | $457.09 | |
MVP Health Care
| Professional | $177.83 | $177.83 | $467.74 | |
United
| Professional | $138.04 | $190.55 | $426.58 |