| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $282.77 | $790.97 | $1,628.75 | |
Cigna
| Professional | $161.69 | $1,000.10 | $2,063.35 | |
MVP Health Care
| Professional | $182.46 | $1,332.92 | $2,063.35 | |
United
| Professional | $1,677.77 | $1,772.74 | $5,083.39 |