| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.10 | $99.24 | $396.00 | |
Cigna
| Professional | $90.99 | $121.52 | $374.95 | |
MVP Health Care
| Professional | $107.89 | $150.25 | $374.95 | |
United
| Professional | $107.02 | $136.21 | $460.22 |