| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $724.77 | $724.77 | $1,215.85 | |
Cigna
| Professional | $724.77 | $724.77 | $724.77 | |
MVP Health Care
| Professional | $724.77 | $724.77 | $724.77 | |
United
| Professional | $333.50 | $501.36 | $738.98 |