| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,518.00 | $1,870.00 | $1,870.00 | |
Cigna
| Professional | $1,870.00 | $1,870.00 | $1,870.00 | |
MVP Health Care
| Professional | $1,870.00 | $1,870.00 | $1,870.00 | |
United
| Professional | $2,200.00 | $2,200.00 | $6,600.00 |