| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,677.60 | $1,677.60 | $1,677.60 | |
Cigna
| Professional | $1,762.26 | $2,019.57 | $4,263.60 | |
MVP Health Care
| Professional | $1,762.26 | $2,019.57 | $4,263.60 | |
United
| Professional | $1,651.63 | $1,754.75 | $5,233.10 |