| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $412.89 | $412.89 | $792.98 | |
Cigna
| Professional | $508.00 | $1,181.05 | $5,014.85 | |
MVP Health Care
| Professional | $526.61 | $1,181.05 | $5,014.85 | |
United
| Professional | $555.00 | $1,034.21 | $1,991.21 |