| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $374.02 | $374.02 | $374.02 | |
Cigna
| Professional | $487.69 | $497.47 | $1,545.74 | |
MVP Health Care
| Professional | $487.69 | $497.96 | $1,545.74 | |
United
| Professional | $358.69 | $514.51 | $844.20 |