| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,669.14 | $1,669.14 | $1,669.14 | |
Cigna
| Professional | $1,708.98 | $1,950.39 | $4,117.24 | |
MVP Health Care
| Professional | $1,708.98 | $1,950.39 | $4,117.24 | |
United
| Professional | $1,591.16 | $1,713.12 | $5,053.46 |