| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,869.69 | $1,869.69 | $1,869.69 | |
Cigna
| Professional | $1,951.13 | $2,235.73 | $4,722.88 | |
MVP Health Care
| Professional | $1,951.13 | $2,235.73 | $4,722.88 | |
United
| Professional | $1,540.54 | $1,934.53 | $5,796.81 |