| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,991.22 | $1,991.22 | $1,991.22 | |
Cigna
| Professional | $2,216.67 | $2,627.55 | $5,543.41 | |
MVP Health Care
| Professional | $2,216.67 | $2,627.55 | $5,543.41 | |
United
| Professional | $2,063.48 | $2,243.71 | $6,803.91 |