| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $153.43 | $253.59 | $828.87 | |
Cigna
| Professional | $216.33 | $352.33 | $1,155.83 | |
MVP Health Care
| Professional | $218.81 | $366.03 | $1,155.83 | |
United
| Professional | $280.14 | $403.62 | $1,418.67 |