| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.55 | $213.80 | $416.87 | |
Cigna
| Professional | $199.53 | $288.40 | $851.14 | |
MVP Health Care
| Professional | $204.17 | $269.15 | $489.78 | |
United
| Professional | $204.17 | $269.15 | $524.81 |