| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,483.93 | $4,483.93 | $7,522.13 | |
Cigna
| Professional | $4,483.93 | $4,483.93 | $4,483.93 | |
MVP Health Care
| Professional | $4,483.93 | $4,483.93 | $4,483.93 | |
United
| Professional | $5,011.45 | $5,275.21 | $12,187.85 |