| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,691.31 | $1,691.31 | $1,691.31 | |
Cigna
| Professional | $1,720.71 | $1,981.60 | $4,185.47 | |
MVP Health Care
| Professional | $1,720.71 | $1,981.60 | $4,185.47 | |
United
| Professional | $1,615.70 | $1,769.02 | $5,137.20 |