| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,545.87 | $2,545.87 | $2,545.87 | |
Cigna
| Professional | $648.53 | $2,545.87 | $2,545.87 | |
MVP Health Care
| Professional | $452.91 | $2,545.87 | $2,545.87 | |
United
| Professional | $2,495.94 | $2,645.71 | $5,766.64 |