| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $156.94 | $156.94 | $619.76 | |
Cigna
| Professional | $116.31 | $191.52 | $412.46 | |
MVP Health Care
| Professional | $164.68 | $194.24 | $412.46 | |
United
| Professional | $156.76 | $166.84 | $506.25 |