| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,794.73 | $1,794.73 | $1,794.73 | |
Cigna
| Professional | $1,935.29 | $2,217.33 | $4,681.97 | |
MVP Health Care
| Professional | $1,935.29 | $2,217.33 | $4,681.97 | |
United
| Professional | $1,391.64 | $2,021.58 | $5,746.59 |