| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $970.54 | $995.06 | $1,299.83 | |
Cigna
| Professional | $4,321.62 | $4,321.62 | $5,177.79 | |
MVP Health Care
| Professional | $4,321.62 | $4,321.62 | $5,177.79 | |
United
| Professional | $41.67 | $136.77 | $275.48 |