| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,500.00 | $1,500.00 | $1,500.00 | |
Cigna
| Facility | $5,024.75 | $5,024.75 | $5,024.75 | |
MVP Health Care
| Facility | $5,024.75 | $5,024.75 | $5,024.75 | |
MVP Health Care
| Professional | $1,951.36 | $1,951.36 | $1,951.36 | |
United
| Professional | $1,311.31 | $3,002.09 | $6,936.03 |