| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,751.96 | $3,751.96 | $3,751.96 | |
Cigna
| Professional | $4,127.63 | $4,914.08 | $10,396.34 | |
MVP Health Care
| Professional | $4,127.63 | $4,914.08 | $10,396.34 | |
United
| Professional | $3,054.46 | $4,135.08 | $12,760.34 |