| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6,500.78 | $8,706.41 | $8,706.41 | |
Cigna
| Professional | $10,777.03 | $10,777.03 | $10,777.03 | |
MVP Health Care
| Professional | $10,777.03 | $10,777.03 | $10,777.03 | |
United
| Professional | $4,547.88 | $10,932.41 | $17,875.41 |