| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,659.59 | $1,949.84 | $2,290.87 | |
Cigna
| Professional | $5,248.07 | $5,248.07 | $5,248.07 | |
MVP Health Care
| Professional | $5,248.07 | $5,248.07 | $5,248.07 | |
United
| Professional | $1,995.26 | $2,570.40 | $7,762.47 |