| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,105.00 | $1,105.00 | $1,105.00 | |
Cigna
| Professional | $1,066.90 | $1,066.90 | $1,066.90 | |
MVP Health Care
| Professional | $1,066.90 | $1,066.90 | $1,066.90 | |
United
| Professional | $1,173.25 | $1,235.00 | $2,853.34 |