| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $506.83 | $624.36 | $624.36 | |
Cigna
| Professional | $624.36 | $624.36 | $624.36 | |
MVP Health Care
| Professional | $624.36 | $624.36 | $624.36 | |
United
| Professional | $612.11 | $612.11 | $1,836.33 |