| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $812.83 | $933.25 | $1,621.81 | |
Cigna
| Professional | $812.83 | $1,479.11 | $2,570.40 | |
MVP Health Care
| Professional | $1,202.26 | $1,584.89 | $1,905.46 | |
United
| Professional | $1,174.90 | $1,621.81 | $4,677.35 |