| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.38 | $250.00 | $261.38 | |
Cigna
| Professional | $118.33 | $196.25 | $216.43 | |
MVP Health Care
| Professional | $118.33 | $207.29 | $1,255.45 | |
United
| Professional | $84.08 | $109.69 | $616.71 |