| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.92 | $107.92 | $115.64 | |
Cigna
| Professional | $81.95 | $117.50 | $395.01 | |
MVP Health Care
| Professional | $117.27 | $137.97 | $395.01 | |
United
| Professional | $137.51 | $153.63 | $455.95 |