| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,210.58 | $5,210.58 | $5,210.58 | |
Cigna
| Professional | $5,210.58 | $5,210.58 | $5,210.58 | |
MVP Health Care
| Professional | $5,210.58 | $5,210.58 | $5,210.58 | |
United
| Professional | $5,108.41 | $5,312.75 | $11,802.47 |