| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $981.75 | $981.75 | $981.75 | |
Cigna
| Professional | $981.75 | $981.75 | $981.75 | |
MVP Health Care
| Professional | $981.75 | $981.75 | $981.75 | |
United
| Professional | $962.50 | $962.50 | $2,223.76 |