| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $913.76 | $1,618.66 | $1,618.66 | |
Cigna
| Facility | $2,184.86 | $2,184.86 | $2,184.86 | |
MVP Health Care
| Facility | $2,184.86 | $2,184.86 | $2,184.86 | |
MVP Health Care
| Professional | $848.49 | $848.49 | $848.49 | |
United
| Professional | $570.19 | $1,305.36 | $5,874.17 |