| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,739.65 | $3,739.65 | $3,739.65 | |
Cigna
| Professional | $3,739.65 | $3,739.65 | $3,739.65 | |
MVP Health Care
| Professional | $3,739.65 | $3,739.65 | $3,739.65 | |
United
| Professional | $3,666.33 | $3,666.33 | $8,470.69 |