| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,676.63 | $1,676.63 | $1,676.63 | |
Cigna
| Professional | $1,960.66 | $2,111.73 | $4,452.60 | |
MVP Health Care
| Professional | $1,960.66 | $2,111.73 | $4,452.60 | |
United
| Professional | $1,720.99 | $1,817.03 | $5,282.24 |