| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $744.80 | $744.80 | $744.80 | |
Cigna
| Professional | $804.39 | $804.39 | $804.39 | |
MVP Health Care
| Professional | $804.39 | $804.39 | $804.39 | |
United
| Professional | $291.22 | $321.17 | $987.30 |