| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.10 | $199.53 | $295.12 | |
Cigna
| Professional | $128.82 | $263.03 | $776.25 | |
MVP Health Care
| Professional | $204.17 | $316.23 | $489.78 | |
United
| Professional | $100.00 | $213.80 | $436.52 |