| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.70 | $91.20 | $117.49 | |
Cigna
| Professional | $79.43 | $109.65 | $213.80 | |
MVP Health Care
| Professional | $79.43 | $107.15 | $190.55 | |
United
| Professional | $79.43 | $109.65 | $177.83 |