| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $156.61 | $200.53 | $892.47 | |
Cigna
| Professional | $169.52 | $214.83 | $641.97 | |
MVP Health Care
| Professional | $200.50 | $264.95 | $641.97 | |
United
| Professional | $203.90 | $239.09 | $787.95 |