| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.33 | $177.83 | $398.11 | |
Cigna
| Professional | $102.33 | $177.83 | $398.11 | |
MVP Health Care
| Professional | $407.38 | $407.38 | $891.25 | |
United
| Professional | $100.00 | $269.15 | $575.44 |