| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,423.75 | $1,423.75 | $2,388.44 | |
Cigna
| Professional | $1,380.10 | $1,380.10 | $1,380.10 | |
MVP Health Care
| Professional | $1,380.10 | $1,380.10 | $1,380.10 | |
United
| Professional | $1,591.25 | $1,675.00 | $3,869.92 |