| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.71 | $103.66 | $145.19 | |
Cigna
| Professional | $71.20 | $140.11 | $254.26 | |
MVP Health Care
| Professional | $115.73 | $152.10 | $254.26 | |
United
| Professional | $151.26 | $176.97 | $464.25 |