| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $612.85 | $612.85 | $612.85 | |
Cigna
| Professional | $645.36 | $751.69 | $1,593.42 | |
MVP Health Care
| Professional | $645.36 | $751.69 | $1,593.42 | |
United
| Professional | $616.95 | $701.54 | $1,955.75 |