| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,639.59 | $1,639.59 | $1,639.59 | |
Cigna
| Professional | $1,821.59 | $2,166.30 | $4,551.56 | |
MVP Health Care
| Professional | $1,821.59 | $2,166.30 | $4,551.56 | |
United
| Professional | $1,624.07 | $1,863.06 | $5,586.53 |