| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $116.87 | $185.56 | $1,933.63 | |
Cigna
| Professional | $81.38 | $225.14 | $1,185.65 | |
MVP Health Care
| Professional | $71.34 | $225.14 | $1,185.65 | |
United
| Professional | $154.72 | $228.59 | $647.54 |