| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $132.61 | $225.14 | $641.52 | |
Cigna
| Professional | $168.14 | $274.77 | $814.66 | |
MVP Health Care
| Professional | $173.73 | $305.66 | $814.66 | |
United
| Professional | $232.90 | $311.89 | $999.90 |