| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,771.70 | $1,771.70 | $1,771.70 | |
Cigna
| Professional | $2,127.89 | $2,470.67 | $5,217.54 | |
MVP Health Care
| Professional | $2,127.89 | $2,470.67 | $5,217.54 | |
United
| Professional | $1,995.11 | $2,115.37 | $6,403.95 |