| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $149.69 | $149.69 | $636.94 | |
Cigna
| Professional | $102.32 | $160.76 | $415.83 | |
MVP Health Care
| Professional | $149.47 | $165.94 | $415.83 | |
United
| Professional | $162.77 | $184.60 | $510.39 |