| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $739.40 | $739.40 | $739.40 | |
Cigna
| Professional | $739.40 | $739.40 | $739.40 | |
MVP Health Care
| Professional | $739.40 | $739.40 | $739.40 | |
United
| Professional | $59.49 | $121.55 | $1,609.56 |