| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $235.96 | $235.96 | $235.96 | |
Cigna
| Professional | $1,707.75 | $1,707.75 | $1,707.75 | |
MVP Health Care
| Professional | $1,707.75 | $1,707.75 | $1,707.75 | |
United
| Professional | $232.91 | $349.59 | $696.40 |