| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $745.43 | $745.43 | $745.43 | |
Cigna
| Professional | $826.44 | $1,095.41 | $2,296.58 | |
MVP Health Care
| Professional | $826.44 | $1,095.41 | $2,296.58 | |
United
| Professional | $753.69 | $860.41 | $2,818.80 |