| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.70 | $172.23 | $688.49 | |
Cigna
| Professional | $133.90 | $214.85 | $458.11 | |
MVP Health Care
| Professional | $183.30 | $223.12 | $458.11 | |
United
| Professional | $170.79 | $185.60 | $562.28 |