| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,501.02 | $1,501.02 | $1,501.02 | |
Cigna
| Professional | $5,029.50 | $5,029.50 | $5,029.50 | |
MVP Health Care
| Professional | $5,029.50 | $5,029.50 | $5,029.50 | |
United
| Professional | $1,715.42 | $2,235.44 | $6,523.11 |