| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $761.42 | $761.42 | $761.42 | |
Cigna
| Professional | $617.52 | $839.87 | $1,305.25 | |
MVP Health Care
| Professional | $617.52 | $839.87 | $1,305.25 | |
United
| Professional | $524.04 | $854.79 | $1,602.05 |