| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,643.84 | $2,643.84 | $2,839.79 | |
Cigna
| Professional | $2,643.84 | $2,643.84 | $2,643.84 | |
MVP Health Care
| Professional | $2,643.84 | $2,643.84 | $2,643.84 | |
United
| Professional | $2,592.00 | $2,592.00 | $5,988.56 |