| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.09 | $90.12 | $423.00 | |
Cigna
| Professional | $79.48 | $116.91 | $330.34 | |
MVP Health Care
| Professional | $93.50 | $130.97 | $330.34 | |
United
| Professional | $115.71 | $133.41 | $405.45 |