| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.71 | $199.98 | $999.00 | |
Cigna
| Professional | $146.84 | $267.43 | $705.77 | |
MVP Health Care
| Professional | $179.13 | $288.20 | $705.77 | |
United
| Professional | $228.23 | $265.79 | $866.25 |