| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $867.15 | $868.12 | $868.12 | |
Cigna
| Professional | $805.25 | $1,243.94 | $1,640.28 | |
MVP Health Care
| Professional | $760.38 | $1,088.97 | $1,640.28 | |
United
| Professional | $872.68 | $1,030.23 | $2,994.96 |