| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $46.77 | $173.78 | |
Cigna
| Professional | $123.03 | $158.49 | $316.23 | |
MVP Health Care
| Professional | $134.90 | $213.80 | $213.80 | |
United
| Professional | $123.03 | $158.49 | $302.00 |