| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $144.75 | $438.36 | $1,489.00 | |
Cigna
| Professional | $147.12 | $341.59 | $1,389.94 | |
MVP Health Care
| Professional | $195.84 | $508.57 | $1,389.94 | |
United
| Professional | $522.05 | $551.19 | $1,706.00 |