| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $636.76 | $636.76 | $1,685.97 | |
Cigna
| Professional | $631.48 | $858.25 | $2,330.19 | |
MVP Health Care
| Professional | $682.05 | $937.64 | $2,330.19 | |
United
| Professional | $682.05 | $778.15 | $2,643.68 |