| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,573.83 | $1,573.83 | $1,573.83 | |
Cigna
| Professional | $1,775.65 | $2,110.88 | $4,441.35 | |
MVP Health Care
| Professional | $1,775.65 | $2,110.88 | $4,441.35 | |
United
| Professional | $1,570.32 | $1,789.94 | $5,451.26 |