| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,776.63 | $1,776.63 | $1,776.63 | |
Cigna
| Professional | $5,952.75 | $5,952.75 | $5,952.75 | |
MVP Health Care
| Professional | $5,952.75 | $5,952.75 | $5,952.75 | |
United
| Professional | $2,447.56 | $2,645.89 | $6,925.41 |