| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,748.25 | $1,748.25 | $1,748.25 | |
Cigna
| Professional | $1,748.25 | $1,748.25 | $1,748.25 | |
MVP Health Care
| Professional | $1,748.25 | $1,748.25 | $1,748.25 | |
United
| Professional | $1,628.27 | $1,713.97 | $3,959.96 |