| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,164.58 | $1,164.58 | $1,164.58 | |
Cigna
| Professional | $1,341.67 | $1,568.43 | $1,568.43 | |
MVP Health Care
| Professional | $1,341.67 | $1,341.67 | $1,568.43 | |
United
| Professional | $1,292.81 | $1,405.24 | $4,075.20 |