| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.33 | $114.82 | $141.25 | |
Cigna
| Professional | $107.15 | $107.15 | $169.82 | |
MVP Health Care
| Professional | $199.53 | $199.53 | $281.84 | |
United
| Professional | $169.82 | $190.55 | $363.08 |