| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,520.00 | $4,464.00 | $4,464.00 | |
Cigna
| Facility | $6,025.50 | $6,025.50 | $6,025.50 | |
MVP Health Care
| Facility | $6,025.50 | $6,025.50 | $6,025.50 | |
MVP Health Care
| Professional | $2,340.00 | $2,340.00 | $2,340.00 | |
United
| Professional | $1,572.48 | $3,600.00 | $8,317.44 |