| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $698.50 | $698.50 | $1,624.05 | |
Cigna
| Professional | $7,047.74 | $7,047.74 | $7,047.74 | |
MVP Health Care
| Professional | $7,047.74 | $7,047.74 | $7,047.74 | |
United
| Professional | $864.12 | $2,932.34 | $8,524.53 |