| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.33 | $141.25 | $467.74 | |
Cigna
| Professional | $158.49 | $173.78 | $588.84 | |
MVP Health Care
| Professional | $588.84 | $588.84 | $588.84 | |
United
| Professional | $114.82 | $177.83 | $616.60 |