| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $498.81 | $498.81 | $498.81 | |
Cigna
| Professional | $558.46 | $656.15 | $1,379.34 | |
MVP Health Care
| Professional | $558.46 | $656.15 | $1,379.34 | |
United
| Professional | $527.03 | $571.61 | $1,692.99 |