| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.00 | $162.18 | $208.93 | |
Cigna
| Professional | $147.91 | $199.53 | $363.08 | |
MVP Health Care
| Professional | $147.91 | $190.55 | $354.81 | |
United
| Professional | $147.91 | $199.53 | $354.81 |