| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $524.00 | $590.67 | $1,338.90 | |
Cigna
| Professional | $557.16 | $776.06 | $1,666.35 | |
MVP Health Care
| Professional | $610.45 | $855.28 | $1,666.35 | |
United
| Professional | $610.45 | $712.50 | $2,366.16 |