| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $179.29 | $179.29 | $903.87 | |
Cigna
| Professional | $540.75 | $540.75 | $540.75 | |
MVP Health Care
| Professional | $121.08 | $242.22 | $540.75 | |
United
| Professional | $168.37 | $304.35 | $663.71 |