| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,773.76 | $1,773.76 | $1,773.76 | |
Cigna
| Professional | $1,994.92 | $2,359.88 | $4,979.20 | |
MVP Health Care
| Professional | $1,994.92 | $2,359.88 | $4,979.20 | |
United
| Professional | $1,876.53 | $2,013.14 | $6,111.41 |