| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $791.70 | $791.70 | $791.70 | |
Cigna
| Professional | $526.61 | $3,028.50 | $3,028.50 | |
MVP Health Care
| Professional | $526.61 | $3,028.50 | $3,028.50 | |
United
| Professional | $1,289.83 | $1,400.57 | $4,080.74 |