| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.20 | $112.20 | $204.17 | |
Cigna
| Professional | $97.72 | $173.78 | $407.38 | |
MVP Health Care
| Professional | $107.15 | $151.36 | $263.03 | |
United
| Professional | $102.33 | $141.25 | $269.15 |