| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $591.76 | $591.76 | $591.76 | |
Cigna
| Professional | $557.28 | $557.28 | $557.28 | |
MVP Health Care
| Professional | $557.28 | $557.28 | $557.28 | |
United
| Professional | $323.73 | $368.76 | $1,228.55 |