| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $793.42 | $793.42 | $793.42 | |
Cigna
| Professional | $793.42 | $793.42 | $793.42 | |
MVP Health Care
| Professional | $793.42 | $793.42 | $793.42 | |
United
| Professional | $777.86 | $793.42 | $1,797.17 |