| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $226.88 | $305.31 | $1,187.28 | |
Cigna
| Professional | $234.65 | $418.59 | $1,112.40 | |
MVP Health Care
| Professional | $316.14 | $426.62 | $1,112.40 | |
United
| Professional | $335.70 | $427.25 | $1,365.35 |