| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,914.28 | $1,914.28 | $1,914.28 | |
Cigna
| Professional | $2,181.09 | $2,202.80 | $4,619.60 | |
MVP Health Care
| Professional | $2,181.09 | $2,202.80 | $4,619.60 | |
United
| Professional | $1,787.49 | $2,348.14 | $5,670.05 |