| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $153.79 | $153.79 | $645.05 | |
Cigna
| Professional | $123.39 | $202.67 | $436.70 | |
MVP Health Care
| Professional | $166.96 | $202.67 | $436.70 | |
United
| Professional | $162.40 | $175.51 | $536.00 |