| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,592.25 | $1,592.25 | $1,592.25 | |
Cigna
| Professional | $1,807.47 | $2,144.46 | $4,511.41 | |
MVP Health Care
| Professional | $1,807.47 | $2,144.46 | $4,511.41 | |
United
| Professional | $1,664.43 | $1,818.91 | $5,537.25 |