| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $636.64 | $636.64 | $636.64 | |
Cigna
| Professional | $657.01 | $770.32 | $1,617.84 | |
MVP Health Care
| Professional | $657.01 | $770.32 | $1,617.84 | |
United
| Professional | $615.14 | $696.83 | $1,985.72 |