| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $974.76 | $974.76 | $974.76 | |
Cigna
| Professional | $3,290.62 | $3,290.62 | $9,843.09 | |
MVP Health Care
| Professional | $3,290.62 | $3,290.62 | $9,843.09 | |
United
| Professional | $1,997.27 | $3,434.71 | $12,081.29 |