| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $257.76 | $257.76 | $257.76 | |
Cigna
| Professional | $86.48 | $102.93 | $230.96 | |
MVP Health Care
| Professional | $86.48 | $103.84 | $230.96 | |
United
| Professional | $104.59 | $498.52 | $929.84 |