| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.92 | $106.07 | $792.54 | |
Cigna
| Professional | $160.97 | $630.72 | $630.72 | |
MVP Health Care
| Professional | $160.97 | $290.36 | $630.72 | |
United
| Professional | $89.80 | $297.22 | $1,790.65 |