| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6,181.20 | $6,181.20 | $6,181.20 | |
Cigna
| Professional | $2,756.54 | $6,181.20 | $6,181.20 | |
MVP Health Care
| Professional | $2,756.54 | $6,181.20 | $6,181.20 | |
United
| Professional | $6,060.00 | $6,423.60 | $14,001.02 |