| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,507.22 | $4,507.22 | $4,507.22 | |
Cigna
| Professional | $4,919.06 | $4,919.06 | $4,919.06 | |
MVP Health Care
| Professional | $4,919.06 | $4,919.06 | $4,919.06 | |
United
| Professional | $2,930.46 | $3,467.66 | $11,265.75 |