| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $489.78 | $660.69 | $870.96 | |
Cigna
| Professional | $707.95 | $707.95 | $707.95 | |
MVP Health Care
| Professional | $707.95 | $707.95 | $707.95 | |
United
| Professional | $295.12 | $426.58 | $3,162.28 |