| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,629.52 | $1,629.52 | $1,629.52 | |
Cigna
| Professional | $1,785.96 | $2,125.44 | $2,125.44 | |
MVP Health Care
| Professional | $1,785.96 | $1,785.96 | $2,125.44 | |
United
| Professional | $1,777.99 | $1,877.22 | $5,624.01 |