| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,035.00 | $1,275.00 | $1,275.00 | |
Cigna
| Professional | $1,275.00 | $1,275.00 | $1,275.00 | |
MVP Health Care
| Professional | $1,275.00 | $1,275.00 | $1,275.00 | |
United
| Professional | $1,250.00 | $1,250.00 | $3,750.00 |