| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,825.00 | $3,825.00 | $6,416.73 | |
Cigna
| Professional | $559.74 | $3,825.00 | $3,825.00 | |
MVP Health Care
| Professional | $559.74 | $3,825.00 | $3,825.00 | |
United
| Professional | $3,750.00 | $3,750.00 | $8,664.00 |