| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,757.15 | $3,112.66 | $3,112.66 | |
Cigna
| Facility | $4,201.47 | $4,201.47 | $4,201.47 | |
MVP Health Care
| Facility | $4,201.47 | $4,201.47 | $4,201.47 | |
MVP Health Care
| Professional | $1,631.64 | $1,631.64 | $1,631.64 | |
United
| Professional | $1,096.46 | $3,419.42 | $11,295.95 |