| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $116.91 | $116.91 | $539.87 | |
Cigna
| Professional | $127.62 | $583.16 | $1,388.00 | |
MVP Health Care
| Professional | $127.62 | $583.16 | $1,388.00 | |
United
| Professional | $591.50 | $624.51 | $1,703.61 |