| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $122.99 | $132.60 | $628.63 | |
Cigna
| Professional | $125.82 | $158.60 | $421.37 | |
MVP Health Care
| Professional | $153.32 | $164.59 | $421.37 | |
United
| Professional | $151.59 | $170.17 | $517.19 |