| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.80 | $103.80 | $420.26 | |
Cigna
| Professional | $58.20 | $134.65 | $167.23 | |
MVP Health Care
| Professional | $113.59 | $134.65 | $167.23 | |
United
| Professional | $107.42 | $115.71 | $346.23 |