| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,437.87 | $1,437.87 | $1,437.87 | |
Cigna
| Professional | $4,946.46 | $4,946.46 | $4,946.46 | |
MVP Health Care
| Professional | $4,946.46 | $4,946.46 | $4,946.46 | |
United
| Professional | $1,855.18 | $2,057.83 | $6,071.22 |