| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.90 | $232.47 | $581.52 | |
Cigna
| Professional | $160.30 | $249.47 | $810.44 | |
MVP Health Care
| Professional | $168.99 | $313.36 | $810.44 | |
United
| Professional | $214.09 | $287.57 | $836.00 |