| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.18 | $87.79 | $372.00 | |
Cigna
| Professional | $77.15 | $113.99 | $319.12 | |
MVP Health Care
| Professional | $95.07 | $137.43 | $319.12 | |
United
| Professional | $102.51 | $133.38 | $391.68 |