| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8,628.84 | $8,628.84 | $8,628.84 | |
Cigna
| Professional | $868.38 | $8,628.84 | $8,628.84 | |
MVP Health Care
| Professional | $568.16 | $8,628.84 | $8,628.84 | |
United
| Professional | $8,459.66 | $8,967.24 | $19,545.20 |