| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,348.96 | $1,698.24 | $3,090.30 | |
Cigna
| Professional | $1,380.38 | $2,187.76 | $3,090.30 | |
MVP Health Care
| Professional | $1,698.24 | $2,398.83 | $2,570.40 | |
United
| Professional | $1,737.80 | $2,187.76 | $3,981.07 |