| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $638.27 | $638.27 | $638.27 | |
Cigna
| Professional | $681.75 | $782.85 | $1,661.58 | |
MVP Health Care
| Professional | $681.75 | $782.85 | $1,661.58 | |
United
| Professional | $643.71 | $720.40 | $2,039.40 |