| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,971.34 | $4,971.34 | $11,942.30 | |
Cigna
| Professional | $4,971.34 | $4,971.34 | $5,579.59 | |
MVP Health Care
| Professional | $4,971.34 | $4,971.34 | $5,579.59 | |
United
| Professional | $4,873.85 | $5,166.29 | $11,279.57 |