| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.23 | $121.23 | $538.29 | |
Cigna
| Professional | $105.15 | $135.26 | $366.12 | |
MVP Health Care
| Professional | $117.21 | $136.16 | $366.12 | |
United
| Professional | $120.10 | $145.15 | $449.37 |