| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.96 | $186.21 | $426.58 | |
Cigna
| Professional | $165.96 | $239.88 | $426.58 | |
MVP Health Care
| Professional | $186.21 | $288.40 | $288.40 | |
United
| Professional | $158.49 | $229.09 | $398.11 |