| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $826.79 | $826.79 | $865.36 | |
Cigna
| Professional | $773.10 | $1,178.55 | $1,557.55 | |
MVP Health Care
| Professional | $712.01 | $1,026.86 | $1,557.55 | |
United
| Professional | $863.27 | $978.28 | $2,843.92 |