| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71,167.10 | $71,167.10 | $112,630.00 | |
Cigna
| Professional | $71,167.10 | $71,167.10 | $71,167.10 | |
MVP Health Care
| Professional | $71,167.10 | $71,167.10 | $71,167.10 | |
United
| Professional | $33,039.90 | $69,772.00 | $72,562.88 |