| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $326.80 | $326.80 | $326.80 | |
Cigna
| Professional | $326.80 | $326.80 | $326.80 | |
MVP Health Care
| Professional | $326.80 | $326.80 | $339.62 | |
United
| Professional | $320.39 | $320.39 | $740.23 |