| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $199.34 | $232.62 | $736.48 | |
Aetna
| Professional | 52 | $116.31 | $116.31 | $368.24 |
Cigna
| Professional | $256.61 | $815.58 | $2,186.23 | |
MVP Health Care
| Professional | $256.61 | $815.58 | $2,186.23 | |
United
| Professional | $833.14 | $901.71 | $2,683.35 |