| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.26 | $177.47 | $750.59 | |
Cigna
| Professional | $123.69 | $192.96 | $514.35 | |
MVP Health Care
| Professional | $160.46 | $234.45 | $514.35 | |
United
| Professional | $178.58 | $218.42 | $631.30 |