| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,091.79 | $1,091.79 | $1,091.79 | |
Cigna
| Professional | $3,900.74 | $3,900.74 | $12,621.02 | |
MVP Health Care
| Professional | $3,900.74 | $3,900.74 | $12,621.02 | |
United
| Professional | $2,240.06 | $4,404.07 | $15,490.89 |