| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $310.97 | $310.97 | $521.69 | |
Cigna
| Professional | $310.97 | $310.97 | $310.97 | |
MVP Health Care
| Professional | $310.97 | $310.97 | $310.97 | |
United
| Professional | $304.88 | $304.88 | $704.39 |