| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,914.55 | $2,914.55 | $3,130.56 | |
Cigna
| Professional | $2,914.55 | $2,914.55 | $2,914.55 | |
MVP Health Care
| Professional | $2,914.55 | $2,914.55 | $2,914.55 | |
United
| Professional | $2,857.40 | $2,857.40 | $6,601.74 |