| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,514.35 | $1,514.35 | $1,514.35 | |
Cigna
| Professional | $1,810.27 | $2,073.26 | $4,373.89 | |
MVP Health Care
| Professional | $1,810.27 | $2,073.26 | $4,373.89 | |
United
| Professional | $1,272.67 | $1,770.52 | $5,368.46 |