| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,264.00 | $3,468.00 | $3,725.04 | |
Cigna
| Professional | $3,468.00 | $3,468.00 | $3,468.00 | |
MVP Health Care
| Professional | $3,468.00 | $3,468.00 | $3,468.00 | |
United
| Professional | $3,400.00 | $3,468.00 | $10,200.00 |