| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,893.29 | $1,893.29 | $1,893.29 | |
Cigna
| Professional | $2,010.33 | $2,497.50 | $5,285.33 | |
MVP Health Care
| Professional | $2,010.33 | $2,497.50 | $5,285.33 | |
United
| Professional | $2,029.97 | $2,148.50 | $6,487.16 |