| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,072.00 | $3,264.00 | $3,264.00 | |
Cigna
| Professional | $3,264.00 | $3,264.00 | $3,264.00 | |
MVP Health Care
| Professional | $3,264.00 | $3,264.00 | $3,264.00 | |
United
| Professional | $3,200.00 | $3,200.00 | $9,600.00 |