| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $141.25 | $194.98 | |
Cigna
| Professional | $77.62 | $141.25 | $251.19 | |
MVP Health Care
| Professional | $141.25 | $204.17 | $229.09 | |
United
| Professional | $93.33 | $177.83 | $316.23 |