| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $399.28 | $633.21 | $1,350.23 | |
Cigna
| Professional | $353.89 | $483.97 | $1,027.76 | |
MVP Health Care
| Professional | $304.02 | $484.09 | $1,027.76 | |
United
| Professional | $304.02 | $637.02 | $1,212.30 |