| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,655.20 | $1,655.20 | $1,655.20 | |
Cigna
| Professional | $1,831.26 | $2,172.42 | $4,568.93 | |
MVP Health Care
| Professional | $1,831.26 | $2,172.42 | $4,568.93 | |
United
| Professional | $1,734.35 | $1,842.22 | $5,607.86 |