| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.86 | $457.86 | $467.23 | |
Aetna
| Professional | $397.76 | $449.88 | $467.23 | |
Cigna
| Professional | $316.44 | $560.84 | $935.19 | |
MVP Health Care
| Professional | $475.66 | $568.04 | $935.19 | |
United
| Professional | $587.38 | $607.08 | $1,707.57 |