| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,454.75 | $1,454.75 | $1,454.75 | |
Cigna
| Professional | $1,569.37 | $1,809.54 | $3,819.76 | |
MVP Health Care
| Professional | $1,569.37 | $1,809.54 | $3,819.76 | |
United
| Professional | $1,474.67 | $1,649.63 | $4,688.33 |