| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $137.69 | $170.19 | $203.70 | |
Cigna
| Professional | $188.67 | $188.67 | $218.93 | |
MVP Health Care
| Professional | $188.67 | $188.67 | $367.50 | |
United
| Professional | $236.14 | $243.89 | $495.48 |