| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $887.04 | $887.04 | $887.04 | |
Cigna
| Professional | $1,016.59 | $1,176.45 | $2,495.69 | |
MVP Health Care
| Professional | $1,016.59 | $1,176.45 | $2,495.69 | |
United
| Professional | $804.34 | $1,133.41 | $3,063.20 |