| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $850.00 | $850.00 | $1,425.94 | |
Cigna
| Professional | $212.00 | $212.00 | $212.00 | |
MVP Health Care
| Professional | $212.00 | $212.00 | $212.00 | |
United
| Professional | $201.40 | $212.00 | $850.00 |