| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $475.33 | $475.33 | $797.39 | |
Cigna
| Professional | $475.33 | $475.33 | $475.33 | |
MVP Health Care
| Professional | $475.33 | $475.33 | $475.33 | |
United
| Professional | $418.37 | $466.01 | $493.97 |