| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.01 | $182.20 | $217.79 | |
Cigna
| Professional | $141.06 | $141.06 | $237.01 | |
MVP Health Care
| Professional | $141.06 | $141.06 | $400.99 | |
United
| Professional | $257.66 | $263.42 | $475.17 |