| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $447.42 | $447.42 | $1,982.14 | |
Cigna
| Professional | $390.42 | $463.66 | $1,366.37 | |
MVP Health Care
| Professional | $390.42 | $434.03 | $1,366.37 | |
United
| Professional | $419.95 | $534.48 | $1,677.06 |