| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,459.27 | $2,459.27 | $2,459.27 | |
Cigna
| Professional | $4,459.50 | $4,459.50 | $4,459.50 | |
MVP Health Care
| Professional | $4,459.50 | $4,459.50 | $4,459.50 | |
United
| Professional | $1,488.69 | $1,606.90 | $5,375.93 |