| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.05 | $90.68 | $90.68 | |
Cigna
| Professional | $114.82 | $121.05 | $680.37 | |
MVP Health Care
| Professional | $114.82 | $120.30 | $680.37 | |
United
| Professional | $161.47 | $222.64 | $726.89 |