| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,691.78 | $1,691.78 | $1,691.78 | |
Cigna
| Professional | $1,905.89 | $2,253.88 | $4,746.97 | |
MVP Health Care
| Professional | $1,905.89 | $2,253.88 | $4,746.97 | |
United
| Professional | $1,800.96 | $1,918.04 | $5,826.38 |