| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $992.99 | $992.99 | $992.99 | |
Cigna
| Professional | $1,099.02 | $1,315.05 | $2,765.65 | |
MVP Health Care
| Professional | $1,099.02 | $1,315.05 | $2,765.65 | |
United
| Professional | $1,025.22 | $1,114.02 | $3,394.53 |