| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.95 | $99.65 | $170.55 | |
Cigna
| Professional | $100.63 | $174.43 | $298.50 | |
MVP Health Care
| Professional | $105.99 | $175.01 | $298.50 | |
United
| Professional | $177.56 | $223.92 | $545.00 |