| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.96 | $216.93 | $809.45 | |
Cigna
| Professional | $167.55 | $295.44 | $793.25 | |
MVP Health Care
| Professional | $214.68 | $301.10 | $793.25 | |
United
| Professional | $243.81 | $303.83 | $973.62 |