| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.55 | $309.03 | $562.34 | |
Cigna
| Professional | $190.55 | $407.38 | $1,288.25 | |
MVP Health Care
| Professional | $363.08 | $467.74 | $891.25 | |
United
| Professional | $213.80 | $354.81 | $776.25 |