| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,195.18 | $1,195.18 | $1,195.18 | |
Cigna
| Professional | $1,355.30 | $1,597.58 | $3,364.55 | |
MVP Health Care
| Professional | $1,355.30 | $1,597.58 | $3,364.55 | |
United
| Professional | $1,290.25 | $1,362.26 | $4,129.60 |