| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,665.60 | $1,665.60 | $1,665.60 | |
Cigna
| Professional | $1,736.97 | $2,217.16 | $4,686.00 | |
MVP Health Care
| Professional | $1,736.97 | $2,217.16 | $4,686.00 | |
United
| Professional | $1,699.26 | $1,900.89 | $5,751.54 |