| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,883.51 | $1,883.51 | $1,883.51 | |
Cigna
| Professional | $2,120.96 | $2,504.13 | $5,277.38 | |
MVP Health Care
| Professional | $2,120.96 | $2,504.13 | $5,277.38 | |
United
| Professional | $2,021.33 | $2,134.13 | $6,477.39 |