| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.98 | $186.40 | $1,002.77 | |
Cigna
| Professional | $167.84 | $167.84 | $676.95 | |
MVP Health Care
| Professional | $167.84 | $201.43 | $676.95 | |
United
| Professional | $187.88 | $278.14 | $787.40 |