| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $491.63 | $491.63 | $1,023.36 | |
Cigna
| Professional | $623.38 | $1,505.12 | $5,767.62 | |
MVP Health Care
| Professional | $526.61 | $1,505.12 | $5,767.62 | |
United
| Professional | $910.00 | $1,737.59 | $2,689.23 |