| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $195.31 | $254.93 | $1,250.48 | |
Cigna
| Professional | $273.64 | $458.17 | $1,276.69 | |
MVP Health Care
| Professional | $315.51 | $458.17 | $1,276.69 | |
United
| Professional | $328.80 | $464.03 | $1,566.99 |