| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $440.45 | $440.45 | $738.90 | |
Cigna
| Professional | $457.73 | $457.73 | $457.73 | |
MVP Health Care
| Professional | $457.73 | $457.73 | $457.73 | |
United
| Professional | $440.45 | $518.17 | $797.12 |