| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $758.95 | $791.31 | $791.31 | |
Cigna
| Professional | $686.28 | $1,113.63 | $1,452.94 | |
MVP Health Care
| Professional | $670.81 | $954.38 | $1,452.94 | |
United
| Professional | $791.90 | $897.70 | $2,652.88 |